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THE J £ If J. f 

MEDICAL FORMULARY: 

BEING 

A COLLECTION OF PRESCRIPTIONS, 

DERIVED FROM 

THE WRITINGS AND PRACTICE 

OF 

MANY OF THE MOST EMINENT PHYSICIANS 

IN 

AMERICA AND EUROPE. 

TO WHICH IS ADDED, 

Containing the usual Dietetic Preparations and Antidotes for 
Poisons. 

THE WHOLE ACCOMPANIED WITH A FEW BRIEF 

PHARMACEUTIC AND MEDICAL OBSERVATIONS. 



BY BENJAMIN ELLIS, M. D. 

Lecturer on Pharmacy. 



Morbos autem, non eloquentia sed remediis curari." — Cels. Be Med. Lib. I. 



PHILADELPHIA : 
H. C. CAREY &^f^A— CHESNUT STREET. 

1826. 



^ 

4 



\^ 






EASTERN DISTRICT OF PENNSYLVANIA, to wit: 

BE IT Rexxmbbred, that on the thirteenth day of December, in the»nfty- 
eth year of the independence of the United States of America, A. D. 1825, 
Benjamin Ellis, M. D. of the said district, hath deposited in this office the title 
of a hook, the right whereof he claims as Author, in the words following, to 
wit: 

"The Medical Formulary : being a collection of Prescriptions, derived from the 
writings ano practice of many of the most eminent Physicians in America and 
Europe. To which is added, an Appendix, containing the usual Dietetic Pre- 
parations and Antidotes for Poisons. The whole accompanied witfi a few 
brief Pharmaceutic and Medical observations. By Benjamin Ellis, M. D. Lec- 
turer on Pharmacy. * Morbos autem, non eloquentia sed remediis curari.' — 
Cels. De Med. Lib. I." 

In conformity to the act of the congress of the United States, intituled " An 
act for the encouragement of learning, by securing the copies of maps, charts, 
and books, to the authors and proprietors of such copies, during the times there- 
in mentioned." — And also to the act, entitled, " An act supplementary to an act 
entitled ' An act for the encouragement of learning, by securing the copies of 
maps, charts, and books, to the authors and proprietors of such copies during the 
times therein mentioned,' and extending the benefits thereof to the arts of de- 
signing, engraving, and etching historical and other prints.?' 

D. CALDWELL, 
Clerk of the Eastern District of Pennsylvania. 



v/S 



SKERRETT — LOCTST STREET, 
PHILADELPHIA. 



TO 



N. CHAPMAN, M. D. 

PROFESSOR OF THE INSTITUTES AND PRACTICE OF PHYSIC 
AND CLINICAL PRACTICE 



UNIVERSITY OF PENNSYLVANIA, 

etc, etc, 

WHOSE TALENTS AND URBANITY 

Have raised him to the first rank in his Profession, and have 
acquired for him the confidence and esteem 

OF A LARGE AND ENLIGHTENED COMMUNITY, 

THIS WORK 

IS VERY RESPECTFULLY DEDICATED 
BY HIS OBLIGED FRIEND 

THE AUTHOR. 



Philadelphia, Dec. 1825. 



PREFACE 



THE elegant and judicious formation of prescrip- 
tions is one of the difficulties which the young practi- 
tioner in medicine is obliged to encounter. While a 
student, he is compelled from the circumstances under 
which he is placed, to confine his attention to the 
leading principles of the science. Consequently the 
minor points, (and the art of directing medicines is 
considered one of them,) are postponed to that period 
when he shall have undertaken the practical duties of 
his profession. 

To obviate in some measure the inconvenience 
which the graduate at first experiences, the volume 
now offered to the public was undertaken and ex- 
ecuted. It contains in a condensed form, and we 
think advantageously arranged, many of the most 
important prescriptions employed in modern practice, 
and which, though most of them may be already 
recorded, are scattered through various medical 
works. 

The arrangement framed by Professor Chapman 
for his Therapeutics, appearing to combine greater 
advantages than any other, we have taken the liberty 
of adopting as the basis of this Formulary. 



Yl PREFACE. 

Each class has been subdivided into Powders, 
Pills, and Liquids ; without any attempt to preserve 
the different preparations of the same article together, 
but only with a view to convenience. A few concise 
rules will be found prefixed to each class, and obser- 
vations have been attached to those prescriptions, 
which possess peculiarities either in their composition 
or effects. 

The application of the remedies to diseases has 
been left to the judgment of the practitioner, and 
Therapeutical detail as much as possible avoided, as 
it would have been inconsistent with the nature and 
design of the work. 

The object is to furnish models for extemporaneous 
formulae, the proportions of which may be either in- 
creased or diminished, according to the age, sex, con- 
stitution, or idiosyncracy of the patient, all of which 
are to be taken into consideration when a prescription 
is directed, as well as the climate and peculiar epide- 
mic which may be prevailing. 

The prescriptions have been couched in the Latin 
language, and the names of the several articles will 
be found regularly terminated. To furnish something 
like a Medical Grammar, was the intention, to those 
unacquainted with the dead language ; and even those 
versed in the classics, may occasionally find words 
used in prescriptions which are new to them. 

A class of Dietetic preparations has been placed in 
the Appendix No. I. they are written in the English 



PREFACE. Vll 

language, and it is hoped they may be found useful 
in furnishing directions necessary to be given to the 
nurse. 

In the Appendix No. II. we have arranged those 
poisons which are usually taken by accident or de- 
sign, with their appropriate antidotes and some prac- 
tical observations. 

The materials for the work have been collected 
from various sources, the writings of different authors, 
periodical journals, manuscripts, and the contributions 
of our friends. It is hoped, therefore, that the diffi- 
culties which have attended its progress will form 
some apology for the errors which it may possibly be 
found to contain. As a reason for not more frequently 
attaching the names of authors to the prescriptions, 
it may be observed, that they are a kind of common 
medical property which every physician feels himself 
privileged not only to employ, but modify as may best 
correspond with his own views. It is therefore diffi- 
cult to say to whom many of them belong; they have 
been touched, and re-touched, till they have lost their 
identity. 

In conclusion, we beg leave to present our acknow- 
ledgments to some of our friends for the encourage- 
ment they have given to the undertaking. To Dr. 
Chapman we are particularly indebted for the kind- 
ness and interest he has manifested in its publication, 
and offer to him, (the only return we can make,) our 
warmest thanks. It is with particular pleasure we 



Vill PREFACE. 

embrace this opportunity of expressing our obligations 
to our friend Dr. S. G. Morton, whose intimate ac- 
quaintance with the subject, and classical knowledge, 
are only equalled by the kindness and industry he 
has displayed in facilitating the work. 

There are others whose names it would gratify us 
to mention, but who we know will be more pleased 
by our silence. The countenance they gave us on the 
present occasion has only increased the debt pre- 
viously incurred. 

December, 18&5, 



INTRODUCTION. 



PREVIOUS to entering upon the main object of 
this work, it may perhaps be allowable to notice a 
few circumstances, which, though they appertain more 
especially to Pharmaceutic Chemistry, appear to be 
called for in this place ; and though they are of course 
familiar to every physician, still they may be useful 
to such students as have not yet turned their attention 
to prescriptions. 

In the first place, then, it is requisite to be well 
acquainted with the signs of quantity, or those sym- 
bolic characters which are used in writing prescrip- 
tions. In the ancient practice of medicine, there was 
a vast number of these symbols, not only for the pur- 
pose of denoting the quantity of the ingredient, but 
the ingredient itself. Most of these, however, have 
become obsolete, and a few only are retained, as in- 
dispensable to the convenience of the practitioner. 
These will be found in the following table, which is 
adopted in the Pharmacopoeias for the regulation of 
weights. 



. English Name. 


Latin Name. 


Symbol. 


Contains. 


A pound, 
An ounce, 
A drachm, 
A scruple, 


Libra, 
Uncia, 
Drachma, 
Scrupulus, 




12 ounces. 
8 drachms. 
3 scruples. 
20 grains. 



INTRODUCTION. 



Iu the manipulation of liquid substances, measures 
have in most countries superseded the use of weights: 
the table of measures recommended by the London 
College, gives particular names and symbols to the 
parts forming a gallon, in order to prevent their be- 
ing confounded with those denoting weights ; as in 
the following table : — 



English Name. 


Latin Name. 


Symbol. 


Contains. 


A gallon, 
A pint, 
A fluidounce, 
A fluidrachm, 


Congius, 
Octarius, 
Fluiduncia, 
Fluidrachma, 


none, 
0, 


8 pints. 
16 fluidounces. 
8 fluidrachms. 
60 minims. 



It has been thought unnecessary in the following 
pages to prefix the f to the signs of quantity used for 
liquids, inasmuch as it is not a custom in this coun- 
try to do so, nor does the omission lead to any ambi- 
guity in compounding prescriptions. 

The minims used in the table, have been adopted 
by the London College in place of drops; but this is 
a refinement of little practical importance, and the 
same symbol, (%) is sometimes used by medical 
writers, though very improperly, to denote both the 
one and the other.* It is true that the size of a drop 
is varied according to the greater or less fluidity and 
gravity of the liquid, and the shape of the vessel from 
which it is dropped; but as a general rule, we cannot 
do better on these occasions, than use a small phial 

* It will be well to recollect that "ten minims of any fluid, if measur- 
ed by the graduated minim measure, will amount to about fifteen drops.'" 



INTRODUCTION. Xi 

with a thin edge. Doctor Dorsey observes, that, 
'f whenever great precision is necessary, it is easy to 
dilute the active medicine, and give it in form of a 
mixture. If sixty grains be diffused in six ounces 
of water, for instance, each half ounce will contain 
five." 

Whenever a table- spoonful of any liquid is order- 
ed, it is considered to be equal to half an ounce by 
measure; and in the same way a tea-spoonful is used 
for a drachm: these measures are sufficiently accurate 
where no great precision is requisite. 

All the prescriptions contained in this work, are 
given in the Latin language, without any other ab- 
breviations than those in common use to denote the 
quantity of an ingredient. The directions for the ad- 
ministration of medicines are expressed in English. 

Prescriptions, as usually sent to the Apothecaries, 
are much abbreviated, and the same course may be 
pursued with regard to those contained in this col- 
lection; and for the information of students who have 
not been in the practice of writing prescriptions, a 
list of the usual abbreviations is subjoined. 



Xll 



INTRODUCTION. 
TABLE OF ABBREVIATIONS. 



Abbreviation. 


Latin Word. 


English Word. 




*Ana, 


Of each. 


A(|. Tepid. 


Aqua Tepida, 


Warm water. 


Aq. Ferv. 


Aqua Ferventis, 


Hot water. 


Chart 


Chartula, 


A small paper. 
A spoonful. 


Coch. 


Cochlear, 


Coch. Mag. 


Cochlear Magnum, 


A table-spoonful. 


Coch. Parv. 


Cochlear Parvum, 


A tea-spoonful. 


Collyr. 


Collyrium, 


An eye-water. 


Contus. 


Contusus, 


Bruised or broken. 


F. vel Ft 


Fiat, vel Fiant, 


Let there be made. 


Fol. 


Folium, vel Folia, 


A leaf or leaves. 


Garg. 


Gargarysma, 


A gargle. 


Gr. 


Granum, vel Grana, 


A grain, or grains. 


Gtt. 


Gutta, vel Guttae, 


A drop, or drops. 


Haust. 


Haustus, 


A draught. 


Infus. 


Infusum, 


An infusion. 


M. 


Misce, 


Mix. 


Mass. 


Massa, 


A mass. 


Mist. 


Mistura, 


A mixture. 


Pil. 


Pilula, vel Pilulae, 


A pill, or pills. 


Pulv. 


Pulvis, vel Pulveres, 


A powder, or powders. 


Q. S. 


Quantum Sufficit, 


• A sufficient quantity. 


R. 


Recipe, 


Take. 


Rad. 


Radix, 


A root. 


S. 


Signa, 


Write. 


Ss. 


Semi, vel Dimidius, 


The half. 


Tine. 


Tinctura, 


A tincture. 



The terms Aqua Fontana, Aqua Fluvialis, and 
Aqua Fontis, are indiscriminately used in this work 
to denote common water. The last of the three may 
be considered somewhat objectionable from its ortho- 
graphical resemblance to Aqua Fortis. 

The doses throughout the book are applicable to 
adult age, unless the contrary is specified. 



* This is not properly a Latin word, but the Greek preposition etvet. 



INTRODUCTION. Xlll 

Finally, the author, in adopting the names of me- 
dicines, has given those the preference which are in 
common use among physicians, without regard to the 
ever- varying nomenclature of modern chemistry ; for, 
as the celebrated Gregory has justly observed, " nefas 
certe foret nomina mutare quae omnibus in ore sunt, 
et bene intellecta." 



CONTENTS. 



Class I. Emetics - - - - - - - 13 

II. Cathartics 18 

Enemata 30 

III. Diuretics 32 

IV. Anthilitics 37 

V. Diaphoretics 41 

VI. Expectorants 49 

Inhalation 57 

Fumigation 58 

VII. Emmenagogues 59 

VIII. Anthelmintics 64 

IX. Epispastics 70 

Blisters ib, 

Setons 73 

Issues - ib. 

Escharotics 79 

X. Stimulants 83 

XI. Narcotics - 90 

XII. Antispasmodics 98 

XIII. Sialagogues 102 

XIV. Tonics - ..... 107 
XV. Astringents 120 

Injections 126 

XVI. Absorbents .... - 130 

Appendix, No. I. Dietetics 134 

II. Poisons 141 

Index - 145 



CLASS I. 



EMETICS. 

IN the administration of Emetics, a few simple 
rules are worthy of attention. Whatever may be the 
apparent necessity of emptying the stomach, we must 
take into consideration all the circumstances of the 
case, and more particularly if there exists much ar- 
terial excitement, with determination to the head ; 
for where these symptoms are present, blood-letting 
should always be premised. 

Where poisons have been taken, our object is to 
evacuate the stomach as speedily as possible, and for 
this purpose we select an emetic, which is prompt in 
its action. But where the excitability of the stomach 
is greatly diminished by the action of a Narcotic, it 
is necessary to assist the emetic by the addition of some 
excitant. Where such an effect is caused by opium, 
the system may be generally rendered susceptible by 
the use of vinegar, mustard, or ammonia. In these 
cases, however, the stomach-tube is our best resource. 

Where free vomiting is desirable, it is most effec- 
tually solicited by plentiful draughts of tepid water 
or chamomile tea. 

There are a few cases in which Emetics are obvi- 
ously inadmissible, as in Apoplexy, or where there 
is great determination of blood to the head, depend- 
ing upon constitutional causes ; Pregnancy ; Hernia ; 
Prolapsus Uteri; Active Haemorrhage from the lungs 

3 



14 EMETICS. 

and uterus, &c. If Emetic medicines are ever allow- 
able in any one of these diseases, it is in nauseating 
doses only. 

By the frequent use of Emetics, the stomach ac- 
quires an increased susceptibility to their action ; 
hence persons of delicate habits should use them cau- 
tiously. 

POWDERS. 

Powder of Ipecacuanha. 

R. Pulveris Ipecacuanha, 9ij. 

Divide into two doses. — Signa. — One to be taken in a little 
molasses, or sugar and water, and followed by a draught of 
tepid water. If the one powder does not produce the desired 
effect, the second to be taken in like manner. 

Powder of Ipecacuanha with Tartarised Antimony. 

R. Pulveris Ipecacuanhae, 9j. 

Tartritis Antimonii et Potassae, gr. j. 
Misce. — To be taken in the same manner as the former. 

Ipecacuanha is supposed by some to counteract the 
effects of opium by a specific principle, and hence the 
above prescription is often used where that drug has 
been taken. A more prompt emetic, however, will 
in all cases be preferable to this. 

Powder of Ipecacuanha with Rhubarb. 

R. Pulveris Ipecacuanhae. 

Rhei aa. 9j. 

Misce, et signa. — To be taken in syrup. 

More or less purging will generally follow the 
emetic operation of this dose. 

The above are the principal combinations of ipe- 
cacuanha for the purpose of vomiting. It fulfils se- 



EMETICS. 15 

veral other indications, which will be noticed un- 
der their appropriate heads. 

Powder of Sulphate of Copper. 
R. Sulphatis cupri, gr. ij. vel x. 
Signa. — To be given in a little syrup or water. 

This medicine is seldom employed as an emetic, 
except in those cases of poisoning where other arti- 
cles have failed, or are not at hand. It should be fol- 
lowed by a draught of warm water, but all vegetable 
astringent infusions are incompatible substances. 

Powder of Sulphate of Zinc. 

R. Sulphatis Zinci, gr. x. vel 3ss. 

Signa. — To be taken in molasses, and followed by a draught of 
warm water. 

This medicine is very prompt in its operation ; it is 
most generally employed in cases of poisoning ; it is 
also used as a nauseating remedy in phthisis ; and 
both as an emetic and tonic in dyspepsia. The sto- 
mach is said to be invigorated, rather than exhausted 
by its operation. 

WINES, MIXTURES, &c. 

Wine of Ipecacuanha with Antimony. 

R. Vini Ipecacuanhse, §j. 

Tartritis Antimonii et Potassse, gr. j. 

Fiat Solutio. — Signa. — A tea-spoonful to be taken every ten 01 
fifteen minutes until vomiting is induced, which may be as- 
sisted with tepid drinks. 

Antimonial Wine. 

R. Vini Antimonii, ^j. 

Signa. — A tea-spoonful to be taken every ten or fifteen minutes 
until free emesisis effected. 



16 EMETICS. 

If autiinonial wine is given for the purpose of pro- 
ducing speedy vomiting, we may safely give an ounce 
of it at once ; and, in the croup of infants, a tea- spoon- 
ful every fifteen minutes, until the medicine operates, 
is a safe dose. 

Solution of Tart rite of Antimony. 

R. Tartritis Antimonii et Potassae, gr. vj. 

Sacchari Albi, 3j. 

Aquae Fontis, ^iv. 
Misce. — Fiat Solutio.— A table-spoonful to be given every ten 
or fifteen minutes until it operates freely. 

The wine of antimony possesses no advantage over 
this extemporaneous prescription ; and unless we 
know the proportion of antimony contained in each 
ounce of the former, and know also that it has been 
recently made, the latter is decidedly preferable. 

Solution of Sulphate of Zinc, fyc. 

R. Zinci Sulphatis, 3iss. 
Aluminis, 3ss. 
Aquae ferventis, Oss. 
Misce. — Let the solution be filtered through blotting paper.— 
Signa. — A table-spoonful for adults, and a tea-spoonful for a 
child of six months old, (and so in proportion to the strength 
and age of the patient,) every morning upon an empty sto- 
mach. 

This is the celebrated solutio vitriolica of Dr. 
Moseley, who principally employed it in dysentery 
and phthisis pulmonalis. 

Mustard Draught. 

R. Pulveris Sinapeos, Jj. 

Aquae tepidae, Oss. 
To be mixed and swallowed at once. 



EMETICS. 17 

Syrup of Seneka and Squills. 

R. Syrupi Scillae Compositi, ^j. 

Signa. — Give from ten drops to a tea-spoonful, every quarter, 
half, or one hour, according to the age of the patient and vio- 
lence of the disease. 

This is the Hive Syrup of Professor Coxe ; it has 
acquired much confidence from its efficacy in croup; 
and should it not be sufficiently active in this violent 
disease, a grain of tartrite of antimony may be added 
to each ounce. — See Coxe's Dispens. p. 343. 

Syrup of Emetine. 

R. Emetinse purae, gr. j. 
Syrupi Simplicis, ^iv. 
Misce, et Signa. — Give a tea-spoonful every quarter of an hour 
until it operates. 

This is nearly a transcript of Mr. Magendie's for- 
mula. The emetine may be considered, at least for 
the present, as a Pharmaceutic curiosity. 

Tobacco Poultice. 

R. Foliorum Nicotianae, ^j. 

To be beat up with sufficient water to form a cataplasm. — To 
be applied to the region of the stomach, where emetics can- 
not be administered by the mouth. 



( 18 ) 



CLASS II. 



CATHARTICS. 

AS a geueral rale it may be observed of cathartics, 
that they are capable of fulfilling three different indi- 
cations : — 1st. Simply to evacuate the bowels. 2d. 
To excite an increased discharge from the mucous 
coat of the intestiues; and 3d. To stimulate the neigh- 
bouring viscera, and cause them to pour out a greater 
quantity of their peculiar fluids. It seldom, or per- 
haps never, happens, that the same article will pro- 
duce these three different effects ; in order to do this 
we must combine different substances in one formula. 

There are some, as magnesia, that produce their 
effect by absorbing the acid generated in the alimen- 
tary canal, and becoming by this means converted 
into a purgative salt. There are others, as aloes, 
that expend their principal force upon the rectum and 
great intestiues, and for this reason are very advan- 
tageously employed in diseases of the lower bowels, 
as also in those of the uterus and its appendages. 

These remedies should always be given on an 
empty stomach ; if administered immediately after a 
full meal they arrest the digestive process, are liable 
to produce nausea, if not vomiting, and do not open 
the bowels with the same certainty or effect. When 
simple costiveness is to be removed, the evening may 
be selected for the exhibition of a cathartic. 



CATHARTICS. 19 

But in the treatment of many diseases it is prefera- 
ble to purge through the day, in order that the sleep 
of the patient may not be disturbed at night. 

The operation of these remedies may be very much 
accelerated by the free exhibition of diluting drinks, 
such as oat meal gruel, barley water, &c. &c. 

By combination we are enabled to modify and con- 
troul the action of many remedies, and there are some 
of the most drastic purgatives may be made to ope- 
rate mildly, and yet certainly, by uniting several of 
them in the same dose. 

Finally, the operation of a cathartic may often be 
promoted by judicious venesection ; and if spasm of 
the intestines be present, opium may be advantage- 
ously joined with the purgative. 

POWDERS. 

Powder with Calomel and Jalap. 

R. Calomelanos, gr. v. vel x. 

Pulveris Jalapae, gr. x. 
Misce, et signa.— To be given in molasses or syrup. 

Powder with Calomel, Jalap, and Rhubarb. 

R. Calomelanos, gr. v. 

Pulveris Jalapae. 

Rhei, aa. gr. v. 

Olei Cinnamomi, gtt. j. 
Misce, et signa. — To be given as the former. 

Powder with Magnesia and Rhubarb. 
R. Pulveris Rhei, 9j. 

Magnesiae Ustae, 9ss. 

Olei Cinnamomi, gtt. j. 
Misce, et signa. — To be given in syrup or sugar and water, 



SO CATHARTICS. 

Powder with Calomel and Rhubarb. 

R. Calomelanos. 

Pulveris Rhei, aa. gr. x. 

Olei Cinnamomi, gtt. j. 
Misce, et signa.— To be given in molasses. 

Powder with Jalap and Supertartrite of Potash. 

U. Supertartritis Potassae, 3y- 

Pulveris Jalapae, 5j« 
Misce. — Divide in chartulas, vj. — Of these give one every twe 
hours in molasses or syrup. 

Compound Powder of Jalap and Gamboge. 

]&. Supertartritis Potassae, Jij. 

Pulveris Jalapae, 3j« 

Gambogiae, gr. vj. 

Misce. — Divide in chartulas, vj. — Signa. — To be given as direct- 
ed in the preceding prescription. 

The compound powder of jalap has been almost 
consecrated to dropsical affections 5 but it forms a very 
convenient purge in many inflammatory cases ; and 
when we wish to increase its certainty and activity, 
we may conveniently add the Gamboge, as in the 
above formula. 

Powder of Moes, Canella Jllba, fyc. 

R. Pulveris Aloes, 3jss. 

Canellae Albae, gr. xviij. 

— — _ Radicis Serpen tariae Virginianae, gr. vj. 
Misce.— Divide in pulveres vj. — Signa. — One every 3 or 4 hours 

in syrup. 

This compound, the hiera picra of the shops, 
forms a very good purgative, and is usually employ- 
ed as an emmenagogue. 



CATHARTICS. SI 

Powder of Sulphur and Super -tartrite of Potash. 

R. Sulphuris Sublimati, §ss. 

Pulveris Super-tartritis Potassae, §j. 
Misce, et signa. — Mix in a sufficient quantity of molasses, and 

give a tea-spoonful 4 or 5 times a day to children. In some 

diseases of the skin. 

It should be always recollected that sulphur pro- 
motes insensible perspiration in a very marked de- 
gree, and hence renders the patient more liable to be 
affected by the vicissitudes of climate. 

Powder with Milk of Sulphur and Calcined Magnesia. 

R. Sulphuris praecipitati vei Lactis Sulphuris. 

Magnesiae Ustae, aa. §ss. 
Misce, et signa.— A tea-spoonful to be taken 4 or 5 times a day 

in milk. 

This preparation is better adapted to delicate sto- 
machs than the former. Either of them forms a good 
aperient during an alterative course of medicine. 

Sulphate of Magnesia and Tartrite of Antimony. 

R. Sulphatis Magnesiae, §j. 

Tartritis Antimonii et Potassae, gr. j. 
JMisce, et signa. — To be dissolved in six ounces of water, and 

taken for a dose. 

By combining tartar emetic with this and other 
purgative salts, we promote at the same time a gentle 
diaphoresis ; which, in many slight inflammatory af- 
fections, it is very desirable to obtain. 

Powder with Tartrite of Soda, Tartaric Acid, #c. vulgo, 
Seidlitz Powders. 

R. Tartritis Sodse, 3ij. 

Super Carbonatis Sodae, 9ij. 
Fiat Pulvis. — Signa.— To be dissolved in half a tumbler of cold 
water. 

4 



8$ CATHARTICS. 

R. Acidi Tartarici Pulverazati, gr. xxv. 

SJgna, — Dissolve in aii equal quantity of water with the above, 

and mix them both together. To be taken while in a state of 

effervescence. 

This is a very popular purgative, and justly so; it 
is a gentle aperient, and may be taken by persons 
whose stomachs would reject any of the ordinary sa- 
line preparations. 

Phosphate of Soda. 
R. Phosphatis Sodae, gj. 

This salt so much resembles in taste the common 
table salt, (muriate of soda,) that it may be conveni- 
ently taken in a bowl of broth. It is a mild pur- 
gative. 

PILLS. 

Pills of Calomel, Jalap, fyc. (known as Griffitts' Cathartic 
Pills.) 

R. Pulveris Jalapae. 

Rhei. 

Saponis Albi, aa. Jss. 
Calomelanos, gr. xxv. 
Tartritis Antimonii et Potassse, gr. iss. 
Aquae Fontanse, quantum sufficit — ut fiat massa: divide in 
pilulas xxv. 
Signa. — Two of these pills may be taken at once, and repeated 
in two hours if not sufficient. 

This combination of purgatives with the tartrite of 
antimony, forms a most excellent antibilious remedy; 
and, in cases of fever, prepares the alimentary canal 
for the reception of other remedies better than a more 
simplified preparation. 






CATHARTICS. S3 

Pills of Calomel, Rhubarb, and Opium. 

R. Calomelanos, gr. xij. 
Pulveris Rhei, gr. xx. 

Opii, gr. j. 

Misce, et divide in pilulas viij. — Signa. — Four may be taken at 
once, and the remainder in one hour if the first are insuffi- 
cient. 

This compound may be employed where we wish 
the effect of calomel, and where there is pain in the 
bowels ; if there should be much costiveness it may 
be necessary to follow the pills with a dose of castor 
oil ; or Epsom salts. 

Pills of Rhubarb and Soap. 
R. Pulveris Rhei, 3j. 

Saponis Albi, gr. x. 

Aquae Fluvialis, q. s.— ut-fiant pilulas xv. 
Signa. — Three for a dose. 

To remove costiveness; or produce a gentle evacua- 
tion in debilitated habits. 

Pills of Aloes and Rhubarb. 
R. Pulveris Rhei. 

Aloes, aa. £ss. 

Saponis Albi, quantum sufficit— ut fiant pilulae xxv. 
Signa.— -Three or four of these may be taken occasionally in 
habitual costiveness and in dyspepsia. 

Pills of Rhubarb with Sulpliate of Iron, $c. 
R. Pulveris Rhei, 3iss. 
Sulphatis Ferri, 3ss. 
Saponis Albi, 9ij. 
Aquae Fontanae, q. s. — Fiat massa in pilulas xl. dividenda. 

The intention of these pills is obviously to remove 
costiveness, and impart tone to the bowels. They 
are a favourite mediciue with Dr. Griffitts of this city. 
Three or four may be taken for a dose at bed time. 



24 CATHARTICS. 

Pills with Aloes, Gentian, fyc. 

R. Pulveris Aloes, 3j. 

Kxtracti Gentianos, 3 s s- 

Olei Carui, gtt. x. 

Syrupi Simplicis quantum sufficit. 
The mass to be divided into pills each one weighing gr. iv. — 

Signa. — Two or three for a dose. 

Pills of Croton Oil. 

. R. Olei Tiglii, gtt. j. 

Micse panis q. s. — ut fiant pilulae iv. 
Signa. — One every hour until they operate. 

This powerful remedy has lately been restored to 
the Materia Medica. One drop is a full dose, and 
frequently less will answer every purpose. 

Pills with Aloes, Ipecacuanha, fyc 

R. Pulveris Aloes, 3ss. 

Ipecacuanha, gr. iv. 

Saponis Albi, 9ij. 

Syrupi Simplicis, q. s.—~ ut fiant pilulae xx. 
Signa. — Two or three for a dose, and repeated as frequently as 
necessary. 

These pills, with almost any other of the aloetic 
preparations, will, from their specific action on the 
rectum, sometimes restore suppressed haemorrhoids. 

Pills with Assafoetida and Aloes. 

R. Gummi Foetidge. 
Pulveris Aloes. 
Saponis Albi, aa. 3ss. 

Aquse Fluvialis, quantum sufficit — ut fiatmassa in pilulasxxv. 
dividenda. 

These pills are usually kept made by the apothe- 
caries, but the physician may prefer them recent, and 
therefore the formula is here inserted. We may alter 



CATHARTICS. 25 

this prescription by substituting rhubarb for aloes, if 
it is deemed preferable. Three or four of them are 
sufficient for a dose. 

Pills with Aloes and Mercurial Blue Mass. 

R. Massae ex Hydrargyro, 9j. 

Pulveris Aloes, gr. xxv. 
Misce, et divide in pilulas, xv. — Signa. — One every two hours 
until they operate. 

In cases of constipation depending upon deficiency 
of bile, these pills may be advantageously employed. 

Pills of Compound Extract of Colocynth, fyc. fyc. commonly 
called FothergiWs Pills. 

R. Extracti Colocynthidis Compositi, 3iss. 
*Oxidi Antimonii Illoti, Jss. 

Misce, et divide in pilulas xxx. — One of these pills will fre- 
quently produce a free evacuation; but two or more may be 
taken when required, at bed time. 

Pills with Aloes, Gum Guaiacum, §-c. 

R. Gummi Guaiaci, §ss. 

Pulveris Aloes, gr. xxxvj. 

-Rhei, 3ij. 

Balsami Canadensis, quantum sufficit — ut fiat massain pilu- 
las, xlviij. dividenda. 
Signa. — One to be taken every three hours. 

This combination forms a highly stimulating ca- 
thartic. 

* This preparation of antimony was formerly known by the name of 
Calx Antimonii Illota. 



SO CATHARTICS. 

MIXTURES, INFUSIONS, &c. 

Oleaginous Mixture. 
R. Olei Ricini, §iss. 

Pulveris Gummi Arabici, 3y« 

Sacchari Albi, Jj« 
Misce, secundum artem, et tunc adde gradatim— • 

Aquae Menthae Sativae, ^iv. 

Tinturee Opii, gtt. xl. vel 1. 
Signa.— -A table-spoonful every hour and a half or two hours, 
until it purges. 

It is of some consequence in preparing this mix- 
ture, to shake the oil and powders well together, be- 
fore adding the water, which should be poured in 
gradually, agitating it after each addition. 

Mixture of Croton Oil 

R. Olei Tiglii, gtt. i. 

Mucilaginis Acaciae. 

Aquae Fluvialis, aa. ^j. 
Misce, et signa.— -A tea-spoonful every two hours until it ope- 
rates. 

Mixture of Oil of Turpentine, $c. 
R. Olei Terebinthinae rectificati, ^j. 

Pulveris Gummi Arabici. 

Sacchari Albi, aa. 3\j» 

Aquae Menthae Sativae, §iv. 
Misce, et Signa. — A table-spoonful every two hours until it 

operates. 

This preparation must be made in the same man- 
ner as the oleaginous mixture. 

Mixture with Magnesia, Tinct. Fostida* fyc. 
R. Magnesiae Ustae, 3ss. 

Tincturae Assaefcetidae, gtt. lx. 

Opii, gtt. xx. 

Sacchari Albi, 3j. 
Aquae Fluvialis, 2y. 






CATHARTICS. 27 

Misce.— Fiat mi stura.-— Signa. —Twenty-five drops may be 
given to an infant of two or four weeks old; in flatulent colic, 
diarrhoea, &c. 

This preparation is strongly recommended and 
much employed by Dr. Dewees of this city. 

Mixture of Magnesia, Rhubarb, 8>-c. 

R. Magnesiae Ustae, Jss. 

Pulveris Rhei, gr. vj. 

Sacchari Albi, Jj. 

Essentias Menthae Piperis, gtt. vj. 

Aquae Fontanae, ^iss. 
Fiat mistura. — Signa. — A tea-spoonful to be given every two 
hours to children, until it operates. 

This preparation is designed for the bowel com- 
plaints of children, and is very serviceable. Lauda- 
num can be added according to the age and circum- 
stances of the patient. 

Solution of Sulphate of Magnesia, fyc. 

R. Sulphatis Magnesiae, ^j. 

Tartritis Antimonii, gr. j. 

Succi Limonis Recentis, ^j. 

Aquae Fluvialis, ^iij. 
Misce. — Fiat solutio. — Signa. — A table-spoonful to be given 
every two hours until it operates. 

Infusion of Senna, Sulphate of Magnesia, <$*c. 

&. Foliorum Sennae, 3yj. 
Mannas Optimae, 
Sulphatis Magnesiae, aa. ^j. 
Seminum Cardamomi Contus. ^ij. 
Misce, et Signa.— To be infused in a pint of boiling water for 
thirty or fifty minutes, and a tea-cupful given every hour un- 
til it operates. 



28 CATHARTICS. 

Infusion of Senna. 

R. Foliorum Sennae, 3vj. 

Semi num. Cardamomi Contus. %'ij. 
Misce, et Signa. — To be infused in a pint of boiling water for 

half an hour; one-half to be taken at once; if insufficient, the 

remainder in two or three hours. 

This infusion may be longer kept if a little tine, 
sennae be added to it. 

Infusion of Senna with Rhubarb, fyc. 

R . Foliorum Sennae, 3vj. 

Mannae Optimae, gj. 

Radicis Rhei Contusae, 3y« 

Seminum Cardamomi Contus. 3y« 
Misce, et signa. — To be infused in a pint of boiling water for 

one hour. A tea-cupful given every hour until it operates. 

Compound Tincture of Senna, vulgo, Warner's Cordial. 

R. Tincturae Sennae Compositae, §j. 

Direct a table-spoonful, mixed with double the quantity of wa- 
ter as hot as it can be drunk, to be taken for a dose, in cases 
of violent pain of the stomach, where a cordial purgative is 
required; to be repeated pro re nata. 



Decoction of Mots, §c. 

R. Extracti Glycyrrhizae, ^ss. 

Potassae Subcarbonatis, 9ij. 

Aloes Spicatae Extracti Contriti. 

Myrrhae Contritae. 

Croci Stigmatum, aa. 3j. 

Tincturae Cardamomi Compositae, §iv. 

Aquae Fluvialis, Oj. 
Boil down all the ingredients, except the last, with the water, 
to twelve fluid ounces, and strain; then add the compound 
Tincture of Cardamom. The dose of this decoction is from 
half an ounce to an ounce and a half, and is of service, fre- 
quently in dyspepsia, and wherever a mild warm cathartic is 
required. 






CATHARTICS. 29 

Mixture of Elaterium. 

]&. Extracti Elaterii, gr. j. 

Spiritus iEtheris Nitrosi, ^ij. 

Tincturae Scillarum. 

Oxymellis Colchici, aa. ^ss. 

Syrupi -Simplicis, ^j. 
Fiat mistura. — Signa. — To take a tea-spoonful three or four 
times a day in a little water. 

The above is the original prescription of Dr. Fer- 
riar, who recommends it in the several forms of drop- 
sy, and particularly in hydrothorax. 

Tincture of Aloes and Canella Alba, vulgo, Tincture of Hieru 

Picra. 

R. Tincturae Hierae Picrae, ^j. 

A tea-spoonful may be taken every hour or two hours until it 
operates. 

Electuary with Jalap, Nitrate of Potash, §-c. 

R. Pulveris Supertartritis Potassae. 

■ Radicis Jalapae. 

Nitratis Potassae, aa. £ss. 

Confectionis Sennae, ^j. 

Syrupi Simplicis, q. s. — ut fiat electuarium.— Of which a bo- 
lus the size of a hazlenut may be taken three or four times 
a day. 

This preparation once gained considerable celebrity 
as a popular remedy for haemorrhoids. 

Electuary with Sulphur. 

R. Sulphuris Sublimati, £ss. 

Confectionis Sennae, §iss. 

Syrupi Simplicis, q. s. — ut fiat electuarium. — A tea-spoon- 
ful night and morning for a dose in the disease above-men- 
tioned. 

5 



SO CATHARTICS. 

ENEMATA. 

Enemata, used either as auxiliaries or substitutes 
for cathartics, very properly succeed that class of 
remedies. 

They are employed to fulfil other indications, and 
the different preparations will be noticed under their 
appropriate heads. It is usual to direct three times 
the quantity to be given for an enema that is required 
for a dose per os. For the purpose of procuring a 
discharge from the bowels, this rule may generally be 
observed ; but in some of the powerful remedies occa- 
sionally administered, as opium and tobacco, it would 
be unsafe, and perhaps occasionally attended with 
very serious consequences. 

The following are the proportions recommended by 
Professor Chapman in the ordinary clysters for per- 
sons of different ages : — A child between the ages of 
one and five years old, from giv. to gvj. A youth 
of ten or fifteen years, half a pint ; and an adult, from 
a pint to a quart, according to circumstances. 

Enema with Oil, Salt, $-c. 
B. Olei Ricini, vel Olivarum, ^ij. 
Syrupi Sacchari Rubri, §ij. 
Muriatis Sodas, ^ss. 
Infusi Lini Tepidi, Oj. 
Misce. — Fiat enema. — One half to be thrown up the rectum with 
a pewter syringe, and the remainder in half an hour or an 
hour, if the first produces no evacuation. 

Enema with Sulphate of Magnesia, fyc. 
R. Sulphatis Magnesias, vel Sodse, ^ij. 
Olei Olivarum, ^j. 
Solutionis Amyli Tepidae, Oj. 
Misce. — Fiat enema. — Signa. — To be exhibited in the manner 
directed above. 




CATHARTICS. 31 

Enema of Oil of Turpentine. 

R. Olei Terebinthinae Optimi, ^jss. 

Vitelli Ovi. 

Solutionis Gummi Arabici, vel. 

Infusi Seminum Lini Tepidi, Oj. 
Misce. — To be administered secundum artem. 

The Venice turpentine may be substituted for the 
oil directed in this prescription ; and either of them, if 
required, may be taken in larger quantities. 

Enema of Infusion of Senna, fyc. 

R. Infusi Foliorum Sennae, Oj. 

Sulphatis Magnesiae, §ij. 
Misce. — One-half to be exhibited as an enema, and the remain- 
der if necessary. 

Enema with Tartrite of Antimony. 

R. Tartritis Antimonii et Potassae, 9j. to 9ij. 

Solutionis Gummi Arabici Tepidse, Oj. 
Misce. — Exhibit as the former. 

Dr. Chapman recommends this preparation as one 
admirably calculated to overcome constipation which 
is so obstinate as to resist the ordinary remedies. It 
is very powerful, and requires care in its manage- 
ment. 

Tobacco Enema. 

R. Foliorum Tabaci, 3j- 
Aquae Ferventis, Oj. 
Make an infusion in the usual manner, and use it as an enema, 
It must be cautiously administered. 



( 33 ) 



CLASS III. 



DIURETICS. 

THE rules for the administration of this class of 
remedies are few and simple. 

Where there is much arterial excitement a judicious 
use of the lancet should precede the employment of 
diuretics. 

The patient must be kept cool, and every precau- 
tion taken against perspiration ; for these two secre- 
tions are well known to be antagonising functions. 

In order to ensure the full effects of diuretics, di- 
luting drinks should be freely given, and especially 
those containing some diuretic in solution. 

POWDERS AND PILLS. 

Powder of Sub-carbonate of Potash. 
R. Sub-carbonatis Potassae, 9ss. 

This powder may be most agreeably taken in a bottle of seltzer 
water, and repeated three or four times a day. 

The same quantity of sub-carbonate of soda may 
be administered in the same manner. 

Powder of Squill, #-c. 

R. Pulveris scillarum, gr. xij. 

■ Nitratis Potassae, 5j. 

Fiant pulveres, vj. — Signa. — One to be given twice a day in 
sugar and water. 

Some aromatic, such as cinnamon, may be added 




DIURETICS. 33 

to this preparation if the stomach should be disposed 
to reject it. 

Pills of Squill and Colomel. 

ft. Calomelanos. 

Pulveris Scillarum, aa. gr. xij. 

Conservee Rosarum, q. s. — ut fiant pilulas xij. — Signa. — One 

night and morning, in dropsies depending upon visceral 

derangement. 

This preparation is one of the most celebrated of 
the diuretics ; and, where disease of the liver is the 
cause of the effusion, is decidedly one of the best. 
When the calomel affects the mouth, it may be omit- 
ted, and the squill only continued. 

Pills of Carbonate of Soda. 

ft. Sub-carbonatis Sodae Exsiccatae, 3j- 
Saponis Albi, 9ij. 

Aquae Fluvialis, q. s.— ut fiant pilulae xxx. — Three to be 
taken three times a day. Chiefly useful in calculous af 
fections. 

Pills of Calomel, Digitalis, fyc. 

ft. Pulveris Scillae Exsiccatae, gr. iv. 

Digitalis Foliorum, gr. x. 

Calomelanos, gr. vj. 

Myrrhae, 9j. 

Simul tere et adde« — 

Assaefoetidse, 3ss. 

Extracti Gentianae, q. s. 
Fiat massa, in pilulas xv. dividenda.— Signa. — One night and 

morning. — Paris. 

Turpentine Pills. 

ft. Terebinthinae Albee, 5j* 

Divide in pilulas xv. — Signa. — One 4 or 5 times a day. 



34 DIURETICS. 

MIXTURES, INFUSIONS, &c. 

Mixture with Tincture Cantharides, fyc. 

R. Tincturae Cantharidum. 

Spiritus iEtheris Nitrosi, aa. gtt. lx. 
Sacchari Albi, 3j- 
Aquae Menthae Sativae, ^ij. 
Fiat mistura. — Signa. — A tea-spoonful may be taken every three 
or four hours; desisting if symptoms of strangury should su- 
pervene. 

Mixture of Spirits of Nitre, fyc. 

R. Spiritus iEtheris Nitrosi, ^j. 

Tincturae Scillae, 3ij. 
Fiat mistura — of which give a tea-spoonful 5 or 6 times in the 

day, with the following infusion :— 
R. Baccarum Juniperi Contus. ^j. 

Potassae Supertartritis, ^ss. 

Aquae bullientis, Oj. 
Fiat infusum. — A tea-cupful for a dose with the above mixture. 

Solution of Cream of Tartar. 

R. Potassae Supertartritis, §j. 

Aquae Fontanee, Oij. 
Fiat solutio. — Signa. — To be freely drunk through the day. 

Mixture of Acetate of Ammonia, fyc. 
R. Liquoris Ammoniae Acetatis, ^ij. 

Potassae Acetatis, ^ij. 
Misce, et signa. — A table-spoonful every 3 hours for a dose. 

Infusion of Parsley, 

R. Apii Petroselini, §j. 
Aquae Bullientis, Oj. 
Fiat infusum, et cola. — Signa. — A tea-cupful may be taken with 

a tea-spoonful of spiritus nitri dulcis, every three or four 

hours during the day. 

A popular remedy in the strangury arising from 
blisters. 



DIURETICS. 35 

Infusion of Digitalis. 
R. Foliorum Digitalis, 3j« 
Aquae Bullientis, Oss. 
Macerate for three hours, then strain. — Dose for an adult, a ta- 
ble-spoonful three times a day. 

The prostrating effects of digitalis should always 
be borne in mind by the practitioner ; and the rule 
that when it acts upon the stomachy the bowels, the 
pulse, or the kidneys, it should be discontinued, can- 
not, when we consider the power of the article, be 
too scrupulously observed. 

Mixture of Digitalis, Potash, $c 
R. Infusi Digitalis, §iv. 

Tincturae Digitalis, %i. 

Acetatis Potassae, 3j- 

Tincturae Opii, gtt. x. 
Fiat mistura. — Signa. — A table-spoonful 3 or 4 times a da\. 

Mixture of Spirits of Turpentine, $c. 
R. Olei Terebinthinae, gtt. C. 
Pulveris Gummi Arabici. 

Sacchari Albi, aa. 3j« 

Aquae Menthae Sativae, ^iv. 
Fiat mistura. — Signa. — A table-spoonful 4 or 5 times a day, 
aided by some diuretic drink. 

This remedy is used in nephritic complaints with 
great benefit, and in the passage of calculi down the 
ureters often affords more relief than any thing else. 

Mixture of Balsam Copaiba. 
R. Balsami Copaibae. 

Spiritus iEtheris Nitrosi, aa. ^ss. 

Pulveris Gummi Arabici. 

Sacchari Albi, aa. 3j« 

Spiritus Lavendulae Compositi, 3ij. 

Tincturae Thebaicae, 3j- 

Aquae Fontanae, ^iv. 
Fiat mistura secundum artem. — Signa. — A table-spoonful three 
times a day. 



36 DIURETICS. 

This remedy is more especially used in gonorrhoea, 
and is considered by Professor Chapman as a speci- 
fic in that disease. A mode perhaps more elegant 
than any other of exhibiting balsam copaiba, consists 
in dropping the quantity prescribed for a dose in a 
wine-glassful of water, and then adding to it a small 
quantity of the Tinct. Gentianaa Com p. The balsam 
becomes collected into a globule, and is surrounded 
by the tincture, which leaving its taste in the mouth 
covers entirely that of the nauseous balsam. 

Mixture of Carbonate of Potash, Squills, fyc. 

R. Sub-carbonatis Potassae, 3j. 

Succi Limonis, q. s. ad Saturandum. 

Tincturas Scillae, ^ss. 

Opii, gtt. xxx. 

Aquae Cinnamomi, 5iv. 
Misce. — Fiat mistura. — Signa.—- A table-spoonful every 2 or 3 
hours through the day. 

The vinegar or oxymel of squills may be substi- 
tuted in this preparation if deemed preferable. We 
selected the tincture as being more uniform, and 
least liable to spontaneous changes. 

Mixture of Wine of Colchicum, fyc. 

R. Vini Colchici, 3ij« 

Magnesias Carbonatis, 3j. 

Aquae Cinnamomi. 

Fluvialis, aa. ^iij. 

Misce, et signa. — A table-spoonful may be taken every 3 hours. 



( 37 



CLASS IV 



ANTHILITICS AND L1TH0NTRIPTICS. 

ANTHILITICS are those substances which ar- 
rest or prevent the formation of calculi in the kidneys 
or bladder. Lithontriptics, are supposed to possess 
the power of dissolving calculous concretions, when, 
already formed, by acting on the substance which 
serves as the bond of union to the saline or acid par- 
ticles composing the stone. 

To administer these remedies with any degree of 
success, requires a chemical knowledge of the ingre- 
dients which enter into the formation of the different 
calculi ; an attention to the properties of the urine 
must also be paid. 

As a derangement of the digestive organs almost 
always co-exists with these foreign bodies in the 
urinary apparatus, we shall gain a very considerable 
advantage by combining the remedies of this class 
with those which have a tendency to restore the 
healthy actions of the stomach. 

When the Lithic or Uric acid abounds in the urine, 
the alkalies will be found to produce the greatest be- 
nefit ; but where the salts are evidently of the calca- 
reous or magnesian character, the muriatic, or some 
one of the mineral acids, will be the most appropriate 
remedy. 

6 



38 ANTHILITICS AND LITH0NTRIPT1CS. 

POWDERS. 

Powder of Uva Ursi, Bark, fyc. 

R. Pulveris Uvse Ursi. 

Cinchonae, aa. 3ij« 

Opii, gr. iij. 

Misce et divide in chartulas, vj.— Of which one may be taken 
three or four times a day. 

The above is the original prescription of Dr. Fer- 
riar, who advises the patient to drink gij. of aqua 
calcis after each dose. 

PILLS. 

Soap Pills. 

R. Saponis Albi, Jj. 

Divide in pilulas xv. — Signa. — One every two hours during the 
day. 

Pills of Sub-carbonate of Soda, dried. 

R. Pilulae Sub-carbonatis Sodae Exsiccatae, xij . 
One three or four times a day. — As under Diuretics. 

SOLUTIONS, MIXTURES, &c. 

Solution of Sub-carbonate of Soda, fyc. 

R. Sodae Sub-carbonatis, 3j. 

Infusi Quassige, §iv. 

Tincturae Calumbae, ^j. 
Misce. — Signa. — A table-spoonful for a dose four times a day. 

Solution of Sal JEratus. 

R. Super-carbonatis Potassae, gr. x. vel. xv. 

Aquae Seltzer, §vj. 
Misce. — Draught to be taken three or four times a day. 



ANTHILITICS AND LITHONTRIPTICS. 39 

Mixture of Sab -carbonate of Soda, &;c. fyc. 

R. Sodae Sub-carbonatis, 3j. 

Misturse Amygdalorum, ^iv. 

Balsami Copaivse, 3y- 

Tincturse Opii, gtt. lx. 
Fiat mistura, secundum artem.—- Signa. — A table-spoonful pro 
re nata.— In acute pain. 

In combination with all of these alkaline prepara- 
tions demulcent drinks may with benefit be freely 
employed. 

Lime Water, fyc. 

R. Sub-carbonatis Potassse, 3ij. 

Aquae Calcis, Oij. 
Fiat solutio. — Of which a wine-glassful may be taken every two 
hours, mixed with an equal quantity of new milk. 

Mixture of Magnesia, §c. 

R. Magnesias Carbonatis, 5j. 

Infusi Gentianae, §vj. 
Fiat mistura. — A wine-glassful to be taken three times a day. 

This remedy is recommended by Brande, of Lon- 
don, as superior to the alkalies, in cases where the 
uric acid abounds. — See Therapeutics, p. 304. 

Mixture of Muriatic Acid in Barley Water. 

R. Acidi Muriatici, gtt. lx. 
Decocti Hordei, gvj. 

Misce. — Signa. — Dose an ounce three or four times a day. — In 
cases of stone where the calcareous properties are most ap- 
parent. 

The nitric acid has been given with the same in- 
tention, but appears to be less useful than the mu- 
riatic. 



40 ANTHILITICS AND LITHONTRIPTICS. 

* Oil of Turpentine. * 

R. Olei Terebinthinae, 3 s s- 

Signa. — From thirty drops to a large tea-spoonful may be taken 

on sugar, and repeated pro re nata. See also the formula 

given under Diuretics. 

This medicine has heert frequently given of late in 
the passage of urinary calculi down the ureters. It 
is stated by Dr. Physick, (than whom there can be no 
higher authority,) that this remedy, proportioned in 
its dose to the degree of suffering, affords more prompt 
relief than any other. 



( 41 ) 



CLASS V 



DIAPHORETICS. 

DURING the exhibition of this class of medicines, 
the patient must be confined to his bed ; and when 
diaphoresis is once excited, every precaution must 
be taken lest it be suddenly checked. 

Venesection must generally be resorted to, where 
there is much arterial excitement with great heat of 
the skin, before we attempt to give diaphoretics. 
Where the skin continues steadily hot and dry, all 
external warmth must be removed, and cold water 
freely applied to the temples, hands, feet, &c; while 
the room is to be kept cool by a free current of fresh 
air. Under these circumstances cold water may be 
frequently and plentifully drunk by the patient. Dia- 
phoretics given in conjunction with these general 
means will act with much more certainty, than if 
great heat of the surface is maintained by covering 
the patient with heavy bed-clothes. If it be desirable 
to produce perspiration when the heat of the skin is 
not above the natural standard, we shall obtain our 
object most readily by placing the patient in a warm 
bed, giving him warm drinks freely, placing his feet 
in warm water, or applying hot-bottles, or bags of 
sand, to the different parts of his body. The bags of 
sand accommodate themselves to the inequality of the 
body, and are therefore an excellent means of apply- 
ing heat externally. Warm bricks, covered with 
cloths, and wetted with vinegar, may also be used 



Ki DIAPHORETICS. 

advantageously. Employed in this way they form a 
steam-bath. The same effect may be produced by 
conducting the vapour of alcohol through a tube un- 
der the bed-clothes of the patient. 

In a few words, then, we have described the man- 
ner of producing diaphoresis, under opposite states of 
the system. In the first instance we solicit, in the se- 
cond we rather extort it. 

It may be proper to observe, before closing these 
remarks, that in the febrile affections, the frequent 
change of linen about the patient, is not only warrant- 
able, but absolutely necessary, whilst employing this 
class of remedies. Where, however, we are desirous 
of producing what is emphatically termed u a sweat " 
we should envelope the patient in a flannel shirt or 
gown, and avoid, as was before observed, every cause 
which may suddenly check the cutaneous discharge, 
and more especially purging and diuresis. 

POWDERS. 

Powder with Nitrate of Potash, fyc. 

R. Pulveris Nitratis Potassse, 3j» 

Tartritis Antimonii, gr. j. 

Calomelanos, gr. vj. 
Misce. — Fiant pulveres, vj. — Signa.—- <One to be taken every 
two hours in syrup or molasses. In febrile affections. 

The calomel may be omitted, or employed at the 
discretion of the practitioner. 

Powder with Opium, Ipecacuanha, fyc. 

R. Pulveris Opii, gr. iij. 

Ipecacuanhas, gr. vj. 

Calomelanos, gr. iss. 

Nitratis Potassse, 3ss. 
Misce. — Fiant pulveres, vj. — Signa. — One to be taken every 

three or four hours. 






DIAPHORETICS. & 

Powders with Gum Guaiacum, 8,-c. fyc. 

R. Pulveris Gummi Guaiaci. 

Nitratis Potassee, aa, 3.j- 

Ipecacuanhae, gr. iij. 

Gummi Opii, gr. ij. 

Misce. — Fiant pulveres, vj. — Signa. — One to be taken every 
three hours in a little jelly or molasses. 

The last prescription is a stimulating diaphoretic, 
and is particularly serviceable in acute rheumatism, 
after the reduction of inflammatory symptoms by the 
usual means. 

Powder of Sulphate of Potash, Opium, <§-c. vulgo, Dover's 

Powder. 
R. Pulveris Opii. 

Ipecacuanhas, aa. gr. vj. 

Potassse Sulphatis, gr. xlviij. 
Misce.— -Fiant pulveres. vj. — Signa. — One to be taken three 

times a day. 

The principal use of the salt in this preparation, 
appears to be, to facilitate the minute division of the 
other two ingredients. Its crystals are extremely hard, 
and it should therefore be broken down and reduced 
to powder in a mortar, at the same time with the other 
articles. It is one of the happiest and most useful 
combinations, and has stood the test of time and ex- 
perience with undiminished reputation. To promote 
its operation, warm drinks may be freely taken after 
each dose. 

Powder with Calomel, Opium, <$•. . 

R. Pulveris Opii, gr. iv. 

Calomelanos, gr. xvj. 

Pulveris Ipecacuanhas, gr. viij. 
Misce. — Divide in pulveres, viij.— -Signa.— -One to be taken 
every hour or two hours. 

This combination is recommended by Professor 



44 DIAPHORETICS. 

Cbapmau in dysentery. From its evident diaphoretic 
tendency, we have been induced to place it under this 
head. 

Antimonial Powder. 
R. Oxidi Antimonii cum Phosphate Calcis, 3j. 
Divide in chartulas, vj. — Signa.— -One every two or three hours 
in fevers. Mixed in syrup or molasses. 

This powder, which has been introduced as the 
succedaneum of the celebrated Fever powder of Dr. 
James, has lately been pronounced inert, by Richard. 
Phillips, a chemist of London. Learning that it had 
produced no effect, when largely exhibited, he deter- 
mined to examine it chemically, and found it to con- 
sist of peroxide of antimony, (which fye says is inert,) 
and the phosphate of lime in mixture. Dr. Paris ob- 
serves, " it will be difficult for the chemist to per- 
suade the physician he can never have derived any 
benefit from the exhibition of antimonial powder." 

Powders of Precipitated Sidphur of Antimony, Calomel, fyc. 
R. Sulphuris Antimonii Prsecipitati. 
Calomelanos, aa. gr. vj. 
Pulveris Gummi Guaiaci, 3j. 
Misce. — Fiant chartulse, vj.— Signa. — To be taken morning and 
evening, with double or even triple proportion of the ingredi- 
ents if necessary. In some cutaneous diseases. 

MIXTURES, &c. 

Mixture of Subcarbonate of Potash, Lemon Juice, fyc. vulgo. 

Neutral or Saline Mixture. 
R. Succi Limonis Recenti, ^iss. 

Subcarbonatis Potassse, q. s. ad saturandum. 

Sacchari Albi, 3j. vel Jij. 

Tartritis Antimonii, gr. j. 

Aquse Fluvialis vel Menthse, §iij. 
Misce. — A table-spoonful may be taken every two hours in le- 
vers. 

This preparation is one of our most elegant and 



DIAPHORETICS. 45 

agreeable diaphoretics. Its powers are decidedly in- 
creased by the addition of tartar emetic. This, how- 
ever, may be omitted, and the sweet spirits of nitre 
substituted, if it be preferred. 

Effervescing Draught. 
R. Subcarbonatis Potassae, 3ij. 

Aquae Fluvialis, §iv. 
Misce. — Fiat Solutio. 
R. Succi Limonis Recenti. 

Aquss Fluvialis, aa. ^ij. 
Misce, et Signa. — Mix two table-spoonsful of the lemonade 
with one of the alkaline solution, and let it be drunk while 
effervescing, and repeated pro re nata. 

This preparation differs from the neutral mixture 
more in the mode of exhibition than in any other im- 
portant particular. It is of great value where the irri- 
tability of the stomach precludes the use of the ordi- 
nary diaphoretics. 

Sweet Spirits of Nitre, with Antimonial Wine, &r. 
R. Tincturse Thebaicae, gtt. xxv. 

Spiritus Nitri Dulcis, 3j« 

Vini Antimonii, gtt. xl. 

Aquss Fluvialis, ^ss. 
Fiat Mistura. — To be given at a dose, and repeated pro re nata. 

Doctor Chapman observes in his Therapeutics — 
•>' this combination very frequently acts as a .diuretic 
in dropsy, and has more than once, within my know- 
ledge, removed the effusion in this disease, under cir- 
cumstances the least to be expected." 

Sweet Spirits of Nitre, 8,-c. 
R. Spiritus Nitri Dulcis, §j. 

Vini Antimonii Tartarizati, 3ij. 
Misce, et Signa. — A tea-spoonful may be taken every hour or 
two hours, in barley water, during the hot stage of intermix 
tent and other fevers. 

7 



4G DIAPHORETICS. 

Water of Acetated Ammonia, fyc. 
R. Liquoris Ammonias Acetatis, ^ij. 

Aquae Cinnamomi, ^j. 

Vini Antimonii, 3j- 

Aquse Fluvialis, gij. 
Fiat mistura. — Signa.— A table-spoonful every two or three 

hours. 

Tincture of Tolu with Wine of Antimony, #•<% 
R. Tincturae Tolutani, $v. 

Pulveris Gummi Arabici, 3iij. 
Sacchari Albi, 3j. 
Vini Antimonii, 5ss. 
Aquae Cinnamomi, 5vj. 
Fiat mistura. — Signa. — A table -spoonful three or four times a 
day. 

This is a stimulating diaphoretic, and will be found 
serviceable in pectoral diseases, accompanied with an 
excessive mucous discharge, which appears to depend 
upon debility of the lungs. 

Mixture with Camphor, Antimonial Wine, fyc. 
R. Misturae Camphoratee, §ss. 
Aquae Ammoniae Acetatae, §ss. 
Vini Antimonii, gtt. xl. 
Tincturae Opii, gtt. xx. 
Misce, et Signa. — To be taken at bed-time, or oftener, but in 
the latter case diminishing the quantity of laudanum. 

For the prescription for Mistura Camphorata see 
stimulants. 

Mixture with Gum Guaiacum, fyc. 
R. Pulveris Gummi Guaiaci, 3ij. 

Nitratis Potassse, 3iss. 

Gummi Arabici, 3j« 

Tartritis Antimonii, gr. iss. 
Pulveris Glycyrrhizae, 3j. 
Aquae Fluvialis, vel Menthae, Sviij. 
Fiat mistura. — Signa. — A table- spoonful three or tour times a 
day. 



DIAPHORETICS. 47 

This preparation, if made without the extract of 
liquorice, is disposed to turn green, which gives it an 
unpleasant appearance, and alarms the patient some- 
times so much as to induce him to refrain from it until 
the physician arrives. Dr. Griffitts has therefore used 
the liquorice, which he says completely prevents the 
change of colour. It is employed principally in rheu- 
matic cases. 

Solution of Sulphate of Magnesia with Tartar Emetic. 
Give of this solution a table-spoonful every hour. 
For the prescription see Cathartics. 

Solution of the Citrate of Ammonia, fyc. 

R. Succi Limonis Recenti, ^j. 

Subcarbonatis Ammonise, q. s. ad saturandum. 

Sacchari Albi, 3j- 

Aquse Fluvialis vel Menthse, §iv. 
Fiat Mistura. — Signa.— A table-spoonful may be taken every 
two or three hours, pro re nata. 

This preparation is seldom employed in the prac- 
tice of this city. It may, however, be beneficially 
given, where we wish a pleasant stimulating diapho- 
retic. 

Infusion of Boneset. 

R. Eupatorii Perfoliati, ^j. 
Aquee Bullientis, Oj. 

infuse for thirty minutes in a covered vessel. Then decant and 
take a wine-glassful every hour, till perspiration is freely pro- 
duced. The infusion must be taken as hot as it can be drunk, 
otherwise it will be likely to produce vomiting. 

Decoction of Sarsaparilla, fyc. 

R. Give of the Compound Decoction of Sarsaparilla a tea-cup 
ful four or fire tim^s a dar. 



IS DIAPHORETICS. 

This preparation, the formula for which is to be 
found in almost any Pharmacopoeia, has long been ce- 
lebrated in the sequelae of syphilis, and the disease 
produced by the improper exhibition of mercury. It 
is also much employed in rheumatism. The rules 
laid down in the Dispensatories for the preparation 
of the decoction should be closely observed. 

Infusion of the rfsclepias Becumbens, or Pleurisy Boot. 

R. Radicis Asclepiadis Decumbentis, ^j. 

Aquee Bullientis, Oiss. 
Fiat infusum. — Signa. — A tea-cupful to be taken warm, as fre- 
quently as the stomach will bear it. 

Professor Chapman observes of this plant — H as a 
diaphoretic, I think it is distinguished by great cer- 
tainty and permanency of operation, and has this es- 
timable property, that it produces its effects without 
increasing much the force of the circulation, raising 
the temperature of the surface or creating inquietude 
and restlessness." — Therapeutics, vol. I. p. 3-17- 

Decoction of Barley with Nitrate of Potash. 

*B. Decocti Hordei, Oj. 

Nitratis Potassae, 3ij« 

Succi Limonis, ^j. vel §ij. 
Fiat potus. — To be used warm by the patient as a common 
drink. 

Infusion of Pipsisseway. 
R. Pyrolfe Umbellatee, §j. 

Aquge Bullientis, Oj. 
Fiat infusum. — A tea-cupful every two hours. 

* For Decoction of Barley see Dietetics.- 



( 49 ) 



CLASS VI 



EXPECTORANTS. 

DURING the administration of Expectorants the 
patient should be kept warm, and, if the complaint 
be violent, in bed. 

Experience has proved that free purging is hurt- 
ful in nearly all pulmonary diseases. Gentle evacua- 
tions from the bowels, however, are indispensable, 
and will be found to aid the operation of this class of 
medicines. 

POWDERS, PILLS, &c. 

Powder of Myrrh, Ipecacuanha, $-c 

BU Pulveris Myrrhae, gr. xij. 

Ipecacuanhae, gr. vj. 

Potassae Nitratis, 3ss. 

Misce, et divide in doses quatuor. — One to be taken even 
fourth hour. A stimulating expectorant. — Paris, Pharma- 
cologia. 

Compound Powder of Ipecacuanha. 

R. Pulveris Doveri, Jss. 

Divide in chartulas iij. — Signa. — One, two or three times a day, 
in sugar and water. 

This remedy is introduced under the head Diapho- 
retics, where perhaps it most properly belongs ; but it 
often proves of such decided advautage as an expec- 
torant, that it also deserves an insertion here. 



50 EXPECTORANTS. 

Powder with Nitrate of Potash, Calomel, Opium, fyc> 

R. Nitratis Potassae, 3j. 

Calomelanos, gr. vj. 

Pulveris Opii, gr. iij. 

Ipecacuanha, gr. v'y 

Misce, et divide in chartulas vj.— Signa.— One every two or 
three hours in syrup or molasses. 

This preparation closely resembles the former with 
the exception that it contains calomel, which is often 
serviceable in pleuritic cases, probably from its influ- 
ence over the hepatic system. 

It may be remarked, that all powders containing 
calomel, or other metallic preparations, should be 
given in syrup or molasses, as they fall to the bot- 
tom when water is employed as the vehicle. 

Pills of Sulphate of Zinc and Myrrh. 
R. Sulphatis Zinci, gr. x. 
Pulveris MjTrhse, 5i ss * 
Confectionis Rosarum, q. s. — ut fiant pilulae xx. 

This prescription is taken from the Pharmacolo- 
gia of Dr. Paris, who recommends two to be taken 
twice a day. 

It is principally used in pertussis, in which disease 
a more efficient direction would be to give a pill every 
two hours. Dr. Paris remarks, that the principal 
nostrums for hooping-cough are formed either of opi- 
um or sulphate of zinc. 

Pills of Cicuta, Ipecacuanha, #c. 

R. Extracti Conii. 

Pulveris Ipecacuanhse compositi, aa. gr. x. 
Misce. — Fiant pilulse iv. — Of which two may be taken at bed 

time. — In pulmonary irritation, attended with rheumatic and 

other local pains. 



EXPECTORANTS, 51 

Pills of Sulphate of Zinc. 
R. Sulphatis Zinci, 3ss. 

Conserve Rosarum, q. s. — ut fiant pilulae xx. — One of these 

pills may be given three times a day. 
They are recommended by some physicians in 
phthisis and pertussis. 

Pills of Calomel, Squills, fyc. 
R. Calomelanos, gr. xxiv. 
Pulveris Scillarum, 3ss. 
Tartritis Antimonii, gr. vj. 
Pulveris Opii, gr. xviij. 
Fiant pilulae xxiv. — Signa. — One every night. — In catarrhal af- 
fections. 

Ipecacuanha Pills. 
R. Pulveris Ipecacuanhee, gr. xv. 

Saponis Albi, q. s.— ut fiant pilulae xv. — Signa. — One three 
times a day. 

These pills are employed in protracted catarrh, and 
in some cases of incipient phthisis. 

Pills of Myrrh, 4*r. 
R. Myrrhae Gummi Resinae, 3iss. 
Scillae Exsiccatae, 3ss. 
Extracti Hyosciami, 9ij. 

Aquae Fontanae, q. s. — ut fiant pilulae xxx. — Two to be- 
taken night and morning. 

These pills are recommended by Dr. Paris in cases 
of phthisis and catarrh attended with great debility 
of the lungs. 

Lozenges with Liquorice, Opium, fyc. 
R. Pulveris Gummi Acaciae. 

Extracti Glycyrrhizae. 

■ Sacchari Albi, aa. 3ij. 

Opii, gr. vj. 

Olei Anisi, gtt iv. 
Misce, et adde — 

Aquae Fontanae, q. s.— ut fiant troches lx.— Signa.— One of 
these may be dissolved in the mouth three or four times a 
day. 



52 EXPECTORANTS. 

They are the celebrated Cough Lozenges of Dr. 
Wistar. 

MIXTURES, SYRUPS, &c. 

Mixture with Extract of Liquorice, fyc. vulgo, Brown Mixture. 
R. Pulveris Extracti Glycyrrhizee. 

Gummi Arabici, aa. 3y- 

Aquae Ferventis, ^iv. 
Misce. — Fiat solutio, et adde— 

Spiritus Nitri Dulcis, 5y« 

Vini Antimonii, 3ij- 

Tincturse Opii, gtt. xl. vel. lx. 
Signa. — A table-spoonful for a dose, pro re nata. — In Catarrh. 

Mixture with Syrup of Squills, fyc. 
R. Syrupi Scillarum, ^ss. 

Tincturse Opii Camphoratee, 3y- 

Vini Antimonii, 3j« 

Pulveris Gummi Arabici, 3ss. 

Aquee Fluvialis, §ij. 
Misce, et signa. — A tea-spoonful every hour or two hours. 

This is more particularly designed for children. 

Compound Syrup of Squills, vulgo, Coxe's Hive Syrup. 
R. Syrupi Scillarum Compositi, ^j. 
A tea-spoonful may be given to a child of one year old every 

quarter, half, or one hour, according to the violence of the 

disease. 

Strongly recommended in pertussis by Professor 
Coxe. 

Mixture of Extract of Conium, fyc. 
R. Extracti Conii Maculati, 3j« 
Tincturee Opii Camphoratae, ^ss. 
Syrupi Tolutani, 5ss. 
Aquae Rosarum, Jiv. 
Misce, et signa. — From half to a whole tea-spoonful may be 
given once in four hours to a child one year old. 

Dr. Pearson in his work on Pertussis recommends 



EXPECTORANTS. 53 

the above as a valuable formula where it is desirable 
to give a narcotic. 

Mistura Moschi. 
See Antispasmodics. 

Mixture of Oil of Amber, fyc. 
R. Olei Succini, gtt. lxxx. 
Gummi Arabici. 
Sacchari Albi, aa. §ss. 
Tincturae Balsami Tolutani, 3y» 
Aquae Fontis, ^iv. 
Fiat Mistura secundum artem. — Signa. — A table-spoonful every 
two or three hours. — In spasmodic cough. 

Mixture with Sub-carbonate of Potash, <^c. 
ft. Sub-carbonatis Potassse, 3ij. 
Vini Antimonii, 3j« 
Tincturee Opii, gtt. xl. 
Spiritus Lavendulae Compositi, 3\j» 
Aquae Fluvialis, ^iv. 
Fiat mistura.— And let a table-spoonful be taken every hour or 
two hours. 

Mixture with Sub-carbonate of Soda, fyc. 
B • Sub-carbonatis Sodse, gr. xij . 

Vini Ipecacuanhae, gtt. xx. 

Tincturae Thebaicse, gtt. iv. 

Aquse Fontis, §j. 
Misce. — Signa. — Give a tea-spoonful every two or three hours. 

This preparation is designed for children, and is 

used principally in pertussis. 

Solution of Sub-carbonate of Potash with Cochineal, 
&. Sub-carbonatis Potassse, 9j. 

Pulveris Coccinellae, 9ss. 

Sacchari Albi, 3j. 

Aquae Fontanae, ^iv. 
Fiat solutio. — Dose for children a tea-spoonful every two or 

three hours. 

This is a popular remedy in pertussis. 

8 



54 EXPECTORANTS. 

Mixture with Tincture of Digitalis, fye. 
R. Tincturae Digitalis, ^ss. 

Opiij gtt. lx. 

Aquae Fluvialis, §ijss. 
Misce. — A small tea-spoonful may be taken three or four times 
a day. — In haemoptysis, and in incipient phthisis. 

Solution of Assafoetida, fyc. 
R. Gummi Assaefoetidae, 5j« 

Aquae Fluvialis, giv. 
Fiat solutio, et adde — 

Tincturae Tolutanae, 5 SS » 

Opii, gtt. xl. vel. 1. 

A tea- spoonful to a child every two hours, and a pap-spoonful, 

(or more,) as frequently to an adult. 

This preparation is one of great value in pertussis 
and all spasmodic diseases of the chest. 

Solution of Gum Ammoniac, fyc. 
R. Gummi Ammoniaci, 3j« 

Aquae Fontanae, ^iv. 
Fiat solutio, et adde— 

Oxymellis Scillarum, ?ij. 

Tincturae Opii Camphoratae, ^ss. 
A table-spoonful may be given every two hours. 

This is a stimulating expectorant, and is useful in 
cases where debility appears to be the priucipal dis- 
ease of the lungs. 

Mixture with Milk of Assafoetida arid Acetate of Ammonia. 
H. Gummi Assaefoetidae, 3ss. 
Liquoris Ammoniae Acetatis. 
Aquae Menthae, aa. ^ij. 
Fiat mistura. — A tea-spoonful to children and a table-spoonful 
to adults in coughs, pro re nata. 

The simple solution is frequently employed, and 
may, in some cases, be found to answer every pur- 
pose of a more complicated prescription. 



EXPECTORANTS. 55 

Mixture with Balsam Peru, <$r. 

R. Balsami Peruviani, Jss. 

Mucilaginis Acaciae, 3ij. 

Aquae Cinnamomi. 

Distillatae, aa. 5ss. 

Misce. — Signa. — To be taken at once, and repeated three or 
four times a day. — In cases of debilitated lungs. 

The different Balsams have been almost proscribed 
from the class of expectorants on account of their sti- 
mulating qualities. Balsam Copaiva was once em- 
ployed, and has again been proposed by a modern 
writer, in diseases of the trachea. 

The author once used it with great advantage in that 
peculiar hoarseness which sometimes results from a 
violent attack of measles. 

Mixture of Gum Ammoniac and Nitric Acid, vulgo, Nitric Lac 
Ammoniac. 

R. Gummi Ammoniaci, 9ijss. 
Acidi Nitrici, 3y« 
Aquae Fontanae, Sviij. 
Pour the Nitric Acid and water together, then add the com- 
pound gradually to the gum, incorporating them well together 
in a composition mortar. 

This preparation is strongly recommended in pro- 
tracted catarrh, and some stages of phthisis pulmo- 
nalis, by Dr. J. Stuart, author of a treatise on Colds. 

Mixture of Spermaceti, fyc. 

R. Spermatis Ceti, 3ij. 
Sacchari Albi, 3iij« 
Tincturae Opii Camphoratae, ^ss. 
Aquae Fluvialis, §viij. 
Rub the spermaceti and sugar together with the yolk of an egg, 
then gradually mix the water. — A table-spoonful for a dose 
four or five times a day. — In Catarrh. 



56 



EXPECTORANTS. 



Mucilage of Gum Arabic. 

R. Gummi Acaciae Optimi, gj. 

Aquae Ferventis, ^iv. 
Fiat solutio. 

Used in most pectoral diseases. 

Infusion of Flaxseed, fyc. 

R. Seminum Lini Contus. ^j. 
Radicis Glycyrrhizae, jss. 
Aquae Bullientis, Oij. 

Macerate for two or three hours near the fire in a covered ves- 
sel; strain, and add lemon juice sufficient to make it agree- 
able. 

It may be given as a common drink in catarrh. 

Decoction of Iceland Moss. 

R. Lichenis Icelandici, gj. 

Aquae Fluvialis, Oiss. 
Boil to one pint, and strain. 

Tbis remedy once acquired great celebrity in 
coughs ; but was overrated and lost its reputation. It 
contains a bitter quality, which often recommends it 
in dyspepsia and in phthisis. From this it may be 
freed if necessary, by macerating it before boiling, 
and throwing the first liquor away. — To be taken ad 
libitum by the patient. 

Solution of Prussic Acid, fyc. 

R. Acidi Hydrocyanici, gtt. viij. 

Gummi Acaciae. 

Sacchari Albi, aa. Jij. 

Aquae Fluvialis, |viij. 
Fiat solutio. — A table-spoonful to be given three or four times a 
day. 

This remedy is now seldom employed in this coun- 
try, although it enjoyed a short lived reputation when 



EXPECTORANTS, 5? 

first introduced. It is, however, possible that the 
cases to which it is applicable have not been suffi- 
ciently discriminated, and that it has been too hastily 
proscribed from our practical Materia Medica. The 
author of this work is acquainted with a case of chro- 
nic hepatitis, where, after every other remedy appa- 
rently failed, it was productive of the most unequivo- 
cal benefit. The quantity in this case was gradually 
increased to ten drops in the day. 

Its general application, however, has been to dis- 
eases of the chest. 

Decoction of Seneka-Root. 
R. Radicis Polygalae Senegae Contusae, §j. 

Glycyrrhizae, ^ss. 

Aquae Fontanae, Oiss. 
Boil down to a pint, and strain. 

This decoction is serviceable iu pectoral diseases. 
In croup, the author has seen it productive of great 
benefit. 

INHALATION. 

Inhalation is a means of applying remedies direct- 
ly to the lungs. 

The best instrument for this purpose is the Inhaler 
of Mudge. As a substitute for this the common tea- 
pot may be used, or a funnel inverted over a bowl. 

The substances usually selected for inhalation are — 

The steam of warm water. 

The steam of vinegar, produced by pouring it in- 
to boiling water. 

Also, Balsam Tohi, as follows: — 
JR. Balsami Tolutani, §j. 

Aquae Bullientis, Oj. 
Misce.— To be inhaled in debility of the lungs. 



58 EXPECTORANTS. 

iEther is also used alone, or impregnated. When 
saturated with cicuta, and inhaled from a wine-glass, 
it is said to be serviceable in protracted catarrh, 
pneumonia, consumption, &c. Stramonium is an ar- 
ticle recommended particularly in asthma and con- 
sumption. The root is cut, dried, and smoked from 
a common pipe. 

Fumigations of tar and turpentine are also recom- 
mended from high authority. The former is said to 
have cured consumption. The remedy is applied by 
placing the tar on a dish over coals, and suffering it 
to evaporate slowly. 

The fumes of resin are frequently employed by Dr. 
Parrish of this city ; he places some pieces of the ar- 
ticle on a hot shovel or some coals, and allows the 
patient to inhale it gradually until it is ascertained 
whether it can be borne. To some persons it is very 
agreeable, while the lungs of others cannot tolerate it. 
He has found it beneficial in debility of the lungs, 
whether idiopathic or the result of disease ; and also 
advises it in pertussis and phthisis. 



( 59 ) 



CLASS VII 



EMMENAGOGUES. 

EMMENAGOGUES are those medicines which 
promote the menstrual discharge, or restore it when 
entirely suppressed. Although by some authors the 
specific action of these medicines to the uterus, has 
been questioned, if not denied, yet by others, whose 
authority is equally to be trusted, it has been fully 
acknowledged. 

It must, however, be observed, that amenorrhea 
occurs under opposite states of the system; and where 
general debility appears to be the cause of the local 
disease, it is adviseable to accompany the emraena- 
gogue with an active course of tonics. While, on the 
contrary, if the obstruction is apparently the effect of 
a plethoric habit, bleeding, cathartics, &c. are essen- 
tial preliminaries to the exhibition of a specific remedy 

POWDERS. 

Powder of Hiera Picra. 
R. Pulveris Hierae Picras, 3j. 
Divide in chartulas, vj. — One three times a day. 

This article is placed under the head of cathartics, 
but it is a remedy so generally employed as an em- 
menagogue, that it appears necessary also to insert it 
here. 

Powder of Madder. 
EL Pulveris Rubiae Tinctorias, ^ss. 

Signa. — A small tea-spoonful to be taken morning, noon, and. 
night, in sugar and water. 



60 BMMENAGOGUES. 

Powder with Savin, fyc. 

R. Sabinse Exsiccatae. 

Pulveris Zingiberis, aa. 3j. 

Potassae Sulphatis, 3ij. 

Fiant pulveres, vj. — Signa. — One to be taken twice a day. 

Powder with Savin and Cantharides. 
R. Pulveris Sabinae, £ij. 

Cantharidum, gr. ij. 

Misce, et divide in pulveres, iv. — Signa. — One to be taken 
every night, going to bed. 

Powder of Spurred Bye. 

R. Pulveris Secalis Cornuti, 9ij. 

Divide in chartulas, iv. Of which one may be taken morning and 
night, in sugar and water. 

Drs. Chapman and Dorsey have placed this reme- 
dy under the head of emmenagogues, though we are 
not aware that it has ever been successfully employ- 
ed as such. 

PILLS. 

Pills of Myrrh, Sulphate of Iron, fyc. 

R. Gummi Myrrhae. 

Sulphatis Ferri, aa. 9ij. 

Sub-carbonatis Potassae. 

Saponis Purificati, aa. 3ss. 
Fiat massa, in pilulas xl. dividenda. Of which two may be taken 

morning, noon, and night. In that suppression of the cata- 

menia which is incident to phthisis pulmonalis. 

Pills of Sulphate of Iron, Jalap, fyc 

R. Sulphatis Ferri, 9j. 
Pulveris Sennae. 

Jalapae. 

Supertartritis Potassae, aa. 3ss. 

Zingiberis, gr. xij. 

Syrupi Simplicis, q. s. — ut fiat massa, in pilulas xxv. divi- 
denda. 



EMMENAGOGUES. 61 

The patient is directed to take three twice in the day, followed 
by twenty drops of the tinctura ferri muriatis, in a glass of 
some bitter infusion. 

This compound is sold by the apothecaries as a 
patent medicine, under the name of Hooper's Pills. 

Pills of Moes, Sulphate of Iron, fyc. 
R. Sulphatis Ferri Exsiccati, 9j. 

Pulveris Aloes, £ij. 

Caryophyli, gr. v. 

Terebinth inse Venetae, q. s. — ut fiant pilulae xx. 
Signa. — One to be taken three times a day. 

DECOCTIONS, TINCTURES, &c. 

Decoction of Seneka. 
R. Radicis Senegae Contusae, §j. 
Corticis Aurantii, 3ij« 
Aquae Fluvialis, Oj. 
Let the seneka simmer over a slow fire until the fluid is reduced 
one-third; add the orange-peel, cover until cool, and then 
strain. 

Dr. Chapman observes — "My rule in the adminis- 
tration of the medicine in these cases, (i. e. of ame- 
norrhcea,) is to give about four ounces of the decoc- 
tion, more or less, during the day, according to the 
circumstances of the case. But at the time when the 
menstrual effort is expected to be made, and until the 
discharge is actually induced, I push the dose as far 
as the stomach will allow, having given as much as 
two ounces every hour." — TJierapenticSjVol. II.p. 38. 

Mixture of Camphor, fyc. 
R. Camphorae, 9j. 

Spiritus Vinosi Rectificati, q. s. — ut fiat pulvis : dein adde— 
Pulveris Gummi Arabici, 3j« 
Sacchari Albi, q. s. 
Aquae Cinnamomi, ^j. 
Fiat Mistura. 

9 



(l3 EMMENAGOGOJES. 

This mixture would more properly appear under 
the head of Narcotics, but as Dr. Dewees considers 
it particularly efficacious in dysmenorrhea, we have 
given it a place with emraenagogues. He directs 
*' one-half the above draught to be given the instaut 
pain is experienced, and if not relieved in an hour or 
two, the remainder to be given." — Syst. Mid. p. 158. 

Tincture of Hellebore. 

R. Tincturte Hellebori Nigri, ^j. 

Signa. — A tea-spoonful three times a day, increasing the quan- 
tity as the stomach will admit of it. 

Tincture of Hellebore, Myrrh, 4*c 

R. Tincturse Hellebori Nigri, ^ss. 

Myrrhse, gj. 

Cantharidum, 3y« 

Fiat mistura. — The patient may take thirty drops, three times a 

day, in a little sugar and water. 

Tincture of Savin, fyc. 

R. Tincturse Sabinas Composite, ^j. 

Hellebori Nigri, ^ss. 

— Castorei, 5\j« 

Fiat mistura.— Signa. — To take forty drops three times a day, 

in any vehicle. 

Tincture of Guaiacum, (Dewees.) 

R. Pulveris Gummi Guaiaci, ^iv. 
Carbonatis Sodae vel. Potassae, 3iss. 
Pulveris Pimenti, Jj. 
Acoholis Diluti, ffoj. 
Misce. — " Digest for a few days. — The volatile spirit of am- 
monia to be added pro re nata, in the proportion of a drachm 
or two to every four ounces of tincture. " 

The above formula is different from that adopted 
in the Pharmacopoeias, for which reason we have in- 



EMMENAGOGUES. 63 

se.rted it here. Dr. Dewees informs us, that after 
nearly thirty-five years experience with this tincture, 
he has never known it fail in restoring the suppressed 
catamenia, where the suppression was an idiopathic 
disease. He gives it morning, noon, and night, in 
doses of a tea-spoonful in a little sweetened milk ; 
and sometimes in a little Madeira, Sherry, or Teue- 
riffe wine. It is occasionally necessary to continue the 
medicine for some weeks, on which occasions the dose 
must be judiciously augmented — Syst. Mid. p. 149. 

Tincture of Cantharides, (Dewees.) 
This tincture, as prepared from the formula of Dr. 
Dewees, differs from that kept in the shops in strength 
only. Ten drops may be taken three times a day and 
gradually increased; and, if necessary, until strangury 
is induced. 

Mixture of Muriate of Iron, fyc. 

%. Tincturae Muriatis Ferri. 

Aloes Compositae, ^ss. 

Castorei, 3u« 

Fiat mistura. — Signa.— Take a tea-spoonful three times a day 

in a wine-glassful of chamomile. 

Tincture of Hiera Picra. 

R. Tincturae Hierrp Picrae, ^j. 

Signa. — A tea-spoonful to be taken three times a day in any 
vehiele. 

Compound Tincture of Aloes. 

R. Tinctune Aloes et Myrrhae, ^j. 
Dose. — A tea-spoonful pro re nata. 



( 64 ) 



CLASS VIII. 



ANTHELMINTICS. 

ANTHELMINTICS are medicines employed to 
destroy and bring away worms from the alimentary 
canal. They are also termed Vermifuges. 

The only unequivocal proof of the existence of 
worms in the alimentary canal is the ejection of some 
of them per anum, or, as sometimes happens, by the 
mouth. When, in such cases vermifuges are resorted 
to, they must be persevered in for several days, with 
the occasional intervention of an active cathartic. 

POWDERS. 

Calomel with Gamboge. 

R. Calomelanos, gr. v. 

Pulveris Gambogise, gr. vj. vel. x. 
Misce. — For an adult. — To be taken in syrup early in the 

morning. 

Gamboge is sometimes given in doses of fifteen or 
twenty grains for the tape- worm, and is highly spoken 
of in such cases. 

Calomel with Pink-Root. 

R. Calomelanos, gr. viij. 
Pulveris Spigelise, gr. xvj. 

Misce. — Signa. — To be taken two mornings in succession, and 
the afternoon of the second day followed by a dose of castor 
oil or senna and manna. — For children upwards of four years 
old. 



ANTHELMINTICS. 65 

Pink-Root ivith Savin, fyc. 

ft. Pulveris Spigelian 

Sennse, aa. 9ij. 

Sabinae, gr. xij. 

Fiant chartulse vj.— -Signa. — One every morning till three are 
taken, then give a dose of castor oil; if the effect is not pro- 
duced, the remainder may be exhibited after the same manner. 

Common Salt with Cochineal. 

R. Muriatis Sodse, 3 u j* 

Coccinellas Pulverizatae, gr. xv. 
Fiant doses vj. — Signa. — One every morning, following the last 
dose with some purgative medicine. 

Dr. Rush speaks in high terms of this remedy. 

Carbonate of Iron. 
R. Carbonatis Ferri, 3j. 

Divide in chartulas iij. — One powder to be taken before break- 
fast. 

Of this remedy also, the late Professor Rush had 
a very favourable opinion. He gave it in doses of 
from 5 grs. to 3ss. to children of from one year old to 
ten, and sometimes in half ounce doses, with safety 
and success. It is chiefly used in tape-worm. — See 
Observ. and Inquiries, p. 213. 

Powder of Male Fern. 

Give of the Powder of the Male Fern Root from one to three 
drachms, in a large cupful of any distilled water, early in the 
morning. If the stomach should reject it, the powder must 
be repeated again, as soon as the sickness has gone off, in the 
same quantity. When it has been upon the stomach about two 
hours, a strong cathartic bolus made of calomel and gamboge, 
(eight or ten grs. of the last and five or six grs. of the first,) 
must be taken, and worked off with a draught of green tea 
every now and then; and its operation may be still further 
promoted, if necessary, by half an ounce, or 3 v j- °f salts, 
dissolved in warm water. Till the worm comes awav, which 



66 ANTHELMINTICS. 

generally happens on the same day, the patient is to take no- 
thing but broth. If, however, the worm should not be dis- 
charged, either wholly or in part, the powder is to be repeat- 
ed, with the same regimen, the next day. — In the tape-worm. 
— Nouffer. 

It has been suggested, and it appears to us with 
great probability, that the purge directed to follow 
this remedy is that on which the greatest reliance is 
to be placed. 

Tin Electuary. 
R. Pulveris Stanni, £vj. V el. ^j. 

*Sacchari Liquidi, 5iv. 
Misce. — Two or three table-spoonsful may be given early in 
the morning upon an empty stomach, to be repeated till the 
whole be taken, and then followed by an active cathartic. 

■ The efficacy of this remedy is said to be increased 
by combination with sulphur, by which means sul- 
phuretted hydrogen would be generated, and the 
worm destroyed by this offensive gas. Larger doses 
than those mentioned are sometimes prescribed. 

Cowhage Electuary. 
R. Spicularum Dolichi, Jj. 

Mellis Liquidi, q. s.— ut fiat electuareum. — Dose a tea- 
spoonful to a child two or three years old ; to be given on 
an empty stomach in the mornings of three successive 
days, and then followed by a brisk cathartic. — In Lumbrki. 

INFUSIONS, DECOCTIONS, &c. 
Infusion of Pink-Root, fyc. vulgo, Worm Tea. 
R. Radicis Spigeliae Marilandicae, §ss. 
Sennae Foliorum, 3ij» 
Mannee Optimae, ijj. 
Seminum Foeniculi, 3y« vel. ^ss. 
Aquse Bullientis, Oj. 
Fiat Infusum. — Signa. — A wine-glassful may be given to a child 
of two years old three or four times a day. 
T Molasses. Any syrup will of course answer the same purpose. 



ANTHELMINTICS. 6? 

Infusion of Pink-Roof. 

B. Radicis Spigeliae, ^j. 
Aquae Bullientis, Oj. 
Fiat infusum. — Of which a child may take from one to two ta- 
ble-spoonfuls at a dose ; an adult from gj. to ^iv. 

The spigelia sometimes affects children violently ; 
hence the necessity of caution in its use. 

Decoction of the Geoffrea Bark. 

Be. Corticis Geoffreac, ^j. 
Aquae Fontanae, Oij. 

To be boiled over a slow fire until it assumes the colour of am- 
ber or Madeira wine. — Dose for adults four table-spoonsful; 
for children two or three years old, one table-spoonful; and 
so in proportion to the age and strength of the patient.— The 
dose of the extract of this medicine is stated by Dr. Chap- 
man to be three grains, and of the powder, 3&s. 

We are not aware that the remedy has been much 
employed in this city. Cold water is to be avoided 
while using this decoction ; if, however, any unplea- 
sant consequences follow its exhibition, and parti- 
cularly where an overdose has been given, our best 
resource is Oleum Ricini, together with tepid water 
acidulated with lemon -juice, or some other vegetable 
acid. 

Mixture of JVormseed Oil. 

B. Olei Chenapodii, 3j. 
Sacchari Albi. 
Gummi Arabic i, aa. 3iss. 
Misce, secundum artem; tunc adde — 

Aquae Menthae Sativae, §ijss. 
A tea-spoonful of this preparation may be given four times a day 
for two days in succession, and then purged oft* with castor 
oil or salts. — For children of three to eight years old. 

This is a vermifuge of considerable reputation in 



158 ANTHELMINTICS. 

this country. It is generally used in Lumbrici and 
•Iscarides ; though we have heard of its having been 
successfully given for Tenia, but in much larger 
doses. 

Spirit of Turpentine, 

Is recommended for Tape-worm, in doses of 3jss. to §ij. daily, 
taken in honey. 

Dr. Chapman speaks highly of this remedy; and 
the safety of such doses seems now to be fully esta- 
blished. 

Olive Oil and Ammonia. 

R. Olei Olivarum, §viij. 

Spiritus Ammonise Aromatici, 3ij. 
Dose, three spoonsful night and morning. 

This remedy is highly spoken of by some authors, 
and may be given in much larger quantities ; if it 
should not purge, it will be necessary to follow it 
with some aloetic or other cathartic preparation. 

Decoction of the Bark of Pomegranate. 

R. Corticis Radicis Granati, 3y- 

Aquae Fontanae, Oiss. 
To be boiled away one-half, and given in doses of an ounce se- 
veral times in the day. 

The efficacy of the bark of the root of the Pome- 
granate, says Dr. Ainslie, (Mat. Med. of Hindostan,) 
as a remedy for the tape-worm, is now well establish- 
ed in India. — Paris, vol. 2, p. 173. 

Aloetic Enema. 

R. Gummi Aloes, 3ij- 

Lactis Recentis, Oj. 
Fiat enema. — The half of this may be given to a child eight or 
ten vears old. — In Ascarides. 



ANTHELMINTICS. 69 

Enema of Camphor, $c. 

&. Camphorse, 5j. 

Olei Olivarum, ^ij. 
Misce pro enemate. 

This preparation is particularly adapted to Asca- 
rides, and should be freely thrown up the rectum for 
three or four successive nights. No remedy is more 
effectual than this in relieving the intolerable itching 
caused by those worms. 

Enemata are the most certain of all remedies in 
Ascarides ; they may be made of various substances, 
such as solution of assafcetida, of common salt, hepar 
sulphuris, &c. &c. 



10 



( 70 ) 



CLASS IX 



EPISPASTICS. 

"By the ancients, all the external applications 
which redden or inflame the skin, were called Epis- 
pastice, and these were designated according to the 
several degrees of effect:— the slightest, entitled phce- 
inigmoi, the next, sinapismi, the more active, vesica- 
torii, and the strongest, caustici." 

We shall, however, as heretofore, follow the ar- 
rangement adopted by Dr, Chapman, and divide them 
into rubefacients, blisters, and caustics. And with 
him too, we shall first speak of blisters. 

As a general rule, blisters should remain on the 
patient twelve hours, in order to insure their full ef- 
fect. There are individuals^ however, whose skins 
are so delicate, that a shorter application will answer 
every purpose; in children, it is seldom, and perhaps 
never, necessary to leave them on longer than six or 
eight hours. When they are applied to the scalp, 
twenty-four hours is almost universally required; and 
Dr. Chapman directs the hair to be shaved, if pos*- 
sible, some hours before the application is made. We 
would also propose the use of a mustard poultice pre- 
viously, where it is of great importance to secure the 
full and speedy effect of the blister. 

The usual dressing, when a blister is taken off, is 
the basilicon ointment, or cabbage leaves, for the first 



EPISPASTICS. 71 

tew times, and then the ceratum simplex. In order to 
keep it open, the weak epispastic, or savin ointment, 
will he found sufficient 

In acute cases of disease, these remedies ought ne- 
ver to precede those means which have a tendency to 
reduce the system. It is generally admitted, that other- 
wise employed, they do harm, though there are indivi- 
duals of acknowledged experience, who say " they 
can bring a patient to the blistering point at plea- 
sure," and in pleurisy, and some other acute diseases, 
apply them soon after a free bleeding. It is univer- 
sally admitted that the blister should be placed as 
near the affected part as possible. In fevers, they are 
usually put on the inside of the fore-arms or legs, 
back of the neck, or between the shoulders. 

Where the system is very prostrate, they should be 
applied to the inside of the thighs, or the two last places 
mentioned : for when the circulation is very languid 
in the extremities, they seldom draw well, and are 
even liable to produce gangrene by exhausting the 
little vitality that remains. 

Where, from peculiarity of constitution, strangury 
is produced by them, we must take them off after a 
few hours, and bathe the part with sweet oil or some 
such mild application — if this proves insufficient, re- 
sort must be had to diluent drinks, such as flaxseed 
tea or barley water, with the sweet spirits of nitre ; 
camphor or parsley tea, or bladders filled with warm 
water and applied to the pubes. An opium supposi- 
tory, or injection, will be found very advantageous. 

It is said by some writers, that if a blister be 
sprinkled with powdered camphor, previous to its 
application, strangury will never result : this precau- 



72 EFISPASTICS. 

tion is by no means to be relied on, though it will be 
well to give it a trial where strangury is anticipated. 

Epispastic Ointment. 

R. Ccne Flavae. 
Resinae. 

Axungiae Porcinse, aa. 3vj. 
Melt over a slow fire, and when at the temperature of 98° add 
slowly — 

Pulveris Cantharidum, 3 v y ss - 
Misce, et fiat unguentum. 

If the cantharides be united with the melted plas- 
ter before it is partially cooled, they are Mable to be 
injured by the heat. 

In employing this ointment, the margin of the blis- 
ter should be covered with adhesive plaster, in order 
to confine it to its place and prevent its creating un- 
necessary irritation. Another mode is to draw strips 
across it diagonally, which plan we generally prefer ; 
it prevents the blister from rising in the middle, and 
thereby partially defeating its object. 

It is mentioned in Paris's Pharmacologia, that the 
flies may be deprived of their power of producing stran- 
gury, by first boiling them in water. 

Tartar Emetic Plaster. 

This may be made by sprinkling the powdered Tartrite of An- 
timony on the surface of a Burgundy Pitch or Adhesive Plas- 
ter, or on one made by spreading Basilicon, or Simple Oint- 
ment, on leather or linen. In either way the margin should 
be left clean. 

This remedy requires a longer time to produce its 
effect than the ordinary blister; the irritation is of a 
peculiar and very painful kind. 



EPISPASTICS. 73 

Tartar Emetic Ointment. 

R. Tartritis Antimonii, 5j. 
Axungiee Porcinse, |j. 
Misce. — Secundum artem. 

This ointment, when applied to the skin, is a slow 
but certain means of exciting an eruption. We have 
given the formula of Dr. Hannay, of Strauraer, in 
Scotland. Dr. Jenner recommends a much larger pro- 
portion of the antimony. 

Tartar Emetic Solution. 

R. Tartritis Antimonii, 5j. 

Muriatis Hydrargyri, gr. v. 

Aquae Distillatae, ^j. 

Spiritus Lavandulae Compositi, 3j* 
Solve sales in aqua, dein adde spiritum. 

This solution is applied by wetting the fingers with 
it and rubbing it on the part. The rubbing should be 
continued for five or ten minutes, and after some hours 
a pustular eruption will appear. This prescription is 
taken from Dr. Hannay's essay " Be Tartratis An- 
timonii Usu Externo," ]). 26. 

It has been extolled in pertussis, dyspnoea, cough, 
pains in the chest, &c. and in the removal of incipi- 
ent tumours. 

ISSUES AND SETONS. 

These remedies are employed as substitutes for 
blisters, where a permanent discharge is desired. 
We have therefore inserted the best rules for their 
employment. 

There are three kinds of issues in common use, bv 
either of which we may procure a discharge of puru- 
lent matter for any length of time that may be requir- 



74 EP1SPASTICS. 

ed. They are applied in different situations, accord- 
ing to circumstances, and some one of the following 
parts is generally chosen; the nape of the neck; the 
hollow of the deltoid muscle, and between the shoul- 
ders or ribs ; in the inferior extremities they are most 
conveniently formed, in the inside of the leg, either 
above or below the knee. 

1. Blister Issue. 

To form this issue it is merely necessary to apply a blister to 
any part in the usual manner; the skin being thus removed, 
the discharge should be continued by means of stimulating 
ointments, as Unguentum Cantharidum, Ung. Basilici, Ung. 
Sabinae, etc. These may be alternated with mild liniments, 
in order to prevent the ulceration and consequent discharge 
from becoming excessive. 

2. The Pea Issue. 

There are two modes of forming this issue: the first is made by 
means of a lancet; the part is merely taken in the thumb and 
finger, and an incision made by passing the lancet through the 
skin. The wound should be kept open by means of orange 
peas, the common pea, a bean, or a bit of orris root. 

The following extracts from the Surgeons Vade 
Mecum, will best exemplify the manner of forming 
the issue with caustic : — 

" The part is first to be covered with a piece of 
adhesive plaster, in the centre of which a circular 
hole has been cut of the size of the intended issue ; in 
this hole the caustic, kali purum, made into a paste 
with soap, is to be placed. The whole is then to be 
covered with another plaster, secured by a bandage,, 
and suffered to remain for ten or twelve hours. Ge- 
nerally in two or three days an eschar begins to sepa 
rate, when the opening should be filled with the sub 




EPISPASTICS. 75 

stance made choice of." These substances are enu- 
merated above. 

3. The Seton. 

To form this artificial discharge, take the seton needle, to which 
is attached a skein of silk, the latter being partially anointed 
with some oleaginous substance. The needle is to be passed 
completely through the part chosen for the operation, after 
which it is removed, and the ends of the silk left hanging 
from the wound. It should be dressed every day, or twice a 
day with some mild ointment: and if this be not sufficient to 
keep up the discharge, the more stimulating unguents may be 
used, as mentioned when speaking of the Blister issue. 

RUBEFACIENTS. 

Those substances denomiuated rubefacients, not 
unfrequently vesicate on very delicate skins. The 
term therefore is relative. They are employed for the 
same purposes as blisters, and frequently with great 
advantage. 

LINIMENTS, OINTMENTS, &c. 

Decoction of Turpentine and Cantharides. 

R. Pulveris Cantharidum, ^i. 

Olei Terebinthinae, ^viij. 
Boil them together for three hours, then filter. 

This powerful stimulant was first made by Dr. 
Hartshorne, of this city, who has used it with great 
success in the typhoid state of fever. It is merely 
rubbed over the surface of the body. 

Kentish Ointment. 

R. Unguenti Resinse Flavae, ^ij. 

Olei Terebinthinae, Jij vel. jss. 
Fiat unguentum. 



76 EPISPASTICS. 

This preparation has long been celebrated in burns 
and scalds. We must be careful to avoid touching the 
sound skin, for turpentine occasionally inflames it se- 
verely. 

Liniment of Ammonia with Oil of Turpentine. 

R. Linimenti Ammoniae, ^iss. 

01 ei Terebinthinae, ^ss. 
Misce, et fiat linimentum. 

Liniment with Camphor, fyc. 

R. Spiritus Camphorati, §iij. 
Acidi Acetici Fortis, ^j. 
Fiat embrocatio.— -To be applied to bruises, rheumatic parts, &c. 

Soap Liniment, fyc. 

R. Linimenti Saponis, ^ij. 

Aquae Ammoniae, ^j. 

Tincturae Opii, 5ss. 
Fiat Linimentum. — To be used as above. 

Liniment with Ammonia and Olive Oil, vulgo, Volatile Lini- 
ment 
R. Olei Olivarum. 

Aquae Ammoniae, aa. 5j. 
Misce. — This preparation is frequently employed in inflamma- 
tion of the throat and other similar cases. 

Liniment of Ammonia and Tartarized Antimony. 

R. Linimenti Ammoniae, §j. 

Tartritis Antimonii, Jj. 
Misce. — This is often applied to indolent tumours, and other 
swellings. 

Liniment of Cantharides, fyc. 
R. Camphorae, 3iij- 
Solve in Decoctum Cantharidis, 5ss.— et adde — 

Unguenti Hydrargyri Fortis. 

Simplicis, aa. 5j. 



EPISPASTICS. 77 

Fiat Linimentum. — This preparation might be employed in cases 
of low fever, where it is desirable to rouse the system, and 
at the same time affect it with mercury; also in tumours. 

Epithem with Tincture of Cantliarid.es. 

R. Pulveris Cantharidum, Jj* 

Spiritus Vini Rectificati, ^iv. 
Digest with a gentle heat for two days. — Strain and add — 

Camphorge, ^ss. 
To be rubbed on the parts affected. In paralysis. 

Epithem with Camphor and Carbonate of Ammonia. 

R. Spiritus Camphorati, ^iv. 

Subcarbonatis Ammomse, gss. 

Olei Juniperi. 

Succini, 55. Jij. 

Misce. — To be employed in the same cases as the former. 

Liniment of Oil of Amber, fyc. 

R. Olei Succini Rectificati, 3rj« 

— — Olivarum, ^ss. 

Tincturae Opii, 3ij» 

Spiritus Vini Gallici, 5ij. 
Fiat Linimentum. — Signa. — To be rubbed between the shoulders 

of children. In pertussis. 

Cayenne Pepper and Alcohol Dilute. 

R. Pulveris Capsici, 3\j« 

Spiritus Vini Diluti, §viij. 
Misce. — This preparation forms an excellent rubefacient in 

cases of low fever. Dr. Chapman recommends it strongly in 

sciatica, and other rheumatic affections. 

In dyspepsia, and some diseases of the head, at- 
tended with cold feet, socks dusted with Cayenne 
pepper are very useful. 

11 



78 



EPISPASTICS. 

CATAPLASMS, &c. 



Cataplasm of Pepper, fyc. 

R. Seminum Sinapeos Contus. Jfoss. 
Piperis Nigri. 
Pulveris Zingiberis, aa. Jj. 
Syrupi Simplicis, q. s.— ut fiat cataplasma. 

To be applied to the region of the stomach in severe pain or 
sickness; or to the soles of the feet where it is wished to pro- 
duce revulsion. 

Spice Plaster. 
R. Pulveris Caryophillorum. 

— Cinnamomi. 

Capsici Annui, aa. 5ss. 

Misce, et adde — 
Faringe. 

Vini Gallici, aa. q. s. — ut fiat cataplasma. 
Let the plaster, thus prepared, be made hot, and applied to the 
epigastric region. 

Dr. Parrish speaks in the highest terms of this 
plaster in cholera. 

Mustard Cataplasm. 
R. Pulveris Sinapeos, §ij. 

Acidi Acetici Tepidi, q. s. — ut fiat cataplasma. 

The uses of the mustard poultice are too well 
known to require description. We will only observe, 
that it is frequently made by adding an equal quan- 
tity of wheat or rye flour ; this should always be done 
for children or other persons of delicate skins. It 
cannot generally be borne longer than a half hour or 
hour. 

Garlic Cataplasm. 
The Garlic Cataplasm is employed with the same intention as 
the mustard, though it is much less active. It may be made 
by bruising the cloves of garlic, and mixing them in a com- 
mon poultice of bread and milk. 






EPISPASTICS. 79 

Cloves. 

Quilt some powdered cloves in flannel, and wring them out in hot 
brandy. Thus prepared they form an excellent external ap- 
plication in cases of colic, and great irritability of the sto- 
mach, as it occurs in cholera. 

Warm Strengthening Plaster. 

R. Picis Burgundici, ^v. 

Unguenti Cantharidum, §j. 
Fiat Emplastrum.— This plaster is applied in the same way, and 

used in all the cases for which Burgundy Pitch is prescribed. 

It is irritating, and in some persons will draw a blister. 

CAUSTICS, OR ESCHAROTICS. 

Caustics or cauteries are divided into the actual and 
potential. The first consists of fire itself, and the se- 
cond of those substances which destroy the living so- 
lids, either by excessive stimulation, or as some have 
supposed, by producing a chemical decomposition. 

Common Caustic with Opium. 

R. Potassae cum Calce, 5ij- 
Pulveris Opii, 5ss. 
Saponis Mollis, q. s. 
Misce. — This preparation is employed for the same purposes as 
the common caustic. 

Potassa. 

The Causticitm Commune Jicerrimum is the pure Potash; when 
mixed with lime, its activity is lessened, and it is then called 
Causticum Commune Mitius. For the best mode of applying 
this remedy, see the remarks on issues. As this caustic 
spreads rapidly and eats deeply, care should be taken not to 
leave it on too long, when in the neighbourhood of large 
blood-vessels. When, however, we wish to arrest its effects, 
we may neutralize it at once by a little vinegar. 



80 EPISPASTICS. 

Lunar Caustic. 

This caustic is the Nitras Argenti, deprived" of its water of crys- 
tallization, fused and cast into moulds. Its mode of applica- 
tion is universally known. It is free from the inconveniences 
of the former. 

Burnt Alum. 
The Mumen Ustum is made by depriving this salt of its water 
of crystallization by heat. It is applied in powder to the fun- 
gous granulations of ulcers; and mixed with an equal part of 
powdered sugar, is used to remove specks or nebulae of the 
cornea. 

MINERAL ACIDS. 

The mineral acids are all escharotics, though sel- 
dom employed because of the difficulty of managing 
fluids when used in this way. Nitric Acid diluted 
is sometimes applied to extensive foul ulcers, in warm 
weather, to destroy the animalcule which are apt to 
be generated in such sores. 

Wliite Oxide of Arsenic. 
R. Oxidi Arsenici Albi, 9j. 

Aquae Fontange, ^ij. 
Fiat solutio. 

This solution is occasionally applied to cancerous 
sores ; it was formerly used in the shape of powder 
or paste, as an empirical remedy. But it is now sel- 
dom employed from the circumstance of its producing 
constitutional irritation. Sir Astley Cooper mentions 
cases where, from its absorption when applied to 
open sores, partial if not complete paralysis of the 
limbs was the consequence. 

Ointment of Arsenic. 
R. Oxidi Arsenici Pulveris, Jj. 

Adipis Suillse. 

Cerati Cetacei, aa. 3 v j« 









EPISPASTICS. 81 

Melt the cerate and lard over a slow fire, and then pour it on 
the White Oxide of Arsenic, and triturate it in a glass mor- 
tar until it is intimately united. — Pharm. Chirurg. — For 
cancers, &c. 

The same care is required in its use as in the so- 
lution. 

Ointment of Bed Precipitate. 

R. Hydrargyri Oxydi Rubri, 3j« 

Terebinthinse Venetae, ^j. 
Fiat unguentum. 

This preparation may be applied to indolent sores, 
and is said by some practitioners to be a specific in 
Itch. 

White Precipitate. 

R. Hydrargyri Precipitati Albi, gr. xv. 

Nitratis Potassae, 5 s s« 

Florum Sulphuris, 3j« 
Bene terantur: adde — 

Axungiae Porcinae, ^ij. 
Fiat unguentum. 

Dr. Chapman remarks, that this ointment has long 
been celebrated in the cure of Itch. 

'Corrosive Sublimate and Lime Water. 

R. Muriatis Hydrargyri Corrosivi, gr. j. vel. iij. 

Aquae Calcis, ^j. 
Fiat solutio. — Signa. — The yellow wash. 

For ordinary purposes one grain to the ounce will 
be sufficient. It is employed in phagcedsenic and 
venereal ulcers. 

Calomel and Lime Water. 

R. Calomelanos, Jj. 

Aquae Calcis, ^iv. 
Misce.— Signa. — The black wash. 



82 



EPISPASTICS, 



This prescription is used in the same cases as the 
other. The red oxide in that, and the black oxide 
of mercury in this, are precipitated by the lime-water. 
They are sometimes administered in the form of in- 
jections in gleets and obstinate gonorrhoea. 

Lotion of Myrrh, 

JjU Tincturae Myrrhse. 

Liquoris Calcis, aa. ^j. 
Misce. 

This lotion is recommended by Dr. Kirkland for 
taking down fungous flesh. In cases of fungous brain 
lie found it extremely serviceable applied to the ex- 
crescence on dossils of lint. 



Powder of Verdigris. 

R. Sub-acetatis Cupri. 

Calomelanos, aa. 3j. 
Fiat pulvis subtillissimus.— -For chancres and indolent ulcers. 

Powdered Rhubarb, fyc. 

R. Pulveris Rhubarbari. 

Ipecacuanhas, aa. 3j« 

Fiat pulvis. — To be dusted on sarcomatous and warty tumours. 

Rhubarb alone forms an excellent application to 
indolent ulcers. 

Powder of Savin, fyc. 

R. Pulveris Sabinse. 

Sub-acetatis Cupri, aa. 5j. 

Fiat pulvis. — To be dusted on sores accompanied with fungous 
excrescences. 

Ointment with Sub-carbonate of Ammonia, fyc. 

R. Sub-carbonatis Ammonise, Jss. 

Unguenti Simplicis, ^ss. 
Fiat unguentum. — To be used in indolent ulcers of a scrofulous 
character. 



( 83 



CLASS X 



STIMULANTS. 

IN the use of stimulants, it is for the most part 
adviseable to begin with small doses, and augment 
them as circumstances may require. There are cases, 
however, in which it is necessary to give them plen- 
tifully ab initio. 

It will be often requisite to change not only the 
stimulating substances, but the part of the body to 
which they are applied : when the stomach fails, the 
rectum and skin may be acted upon with advantage. 

PILLS, POWDERS, &c. 

Pills of Camphor, $c. 

R. Pulveris Lyttae, gr. xviij. 

Opii. 

■ ■ Camphorse, aa. gr. xxxvj. 
Conservae Rosarum, q. s. 
Ut fiat pilulae xxxvj. — Of which one or two may be taken every 
night going to bed. 

Designed for impotency arising from general de- 
bility. 

Pills of Turpentine, 4*c 

R. Pulveris Guaiaci, 3j« 

Terebinthinae Vinetae, q. s. 
Ut fiant pilulae xv. — Signa.— One three times a day. 

These pills have a powerful effect upon the urinary 



84! STIMULANTS. 

organs. They are employed in gleet and leucorrhcea, 
and frequently produce the most obstinate strangury. 

Pills of Cayenne Pepper. 

R. Pulveris Capsici, 3j- 

Micae Panis. 

Aquae Fontanae, aa. q. s. 
¥t fiant pilulae x. — Signa. — One three or four times a day. In 
debility of the stomach resulting from intemperance. 

Tincture of Cantharides, fyc. 

R. Radicis Rhei Contusse, 3iss. 

Guaiaci, gr. xlv. 

Gummi Laccae, 3ss. 

Cantharidum Contusarum, 3j- 

Spiritus Vini Rectificati, §xij. 
Fiat infusum, et Cola. — Dose from thirty to fifty drops, night 
and morning, in a draught of water. In gleets. 

From the active nature of these articles, we would 
recommend caution in the use of them. 

Mixture of Sub-Carbonate of Ammonia, fyc. 

R. Sub-Carbonatis Ammoniae, 3iss. 

Pulveris Sacchari Albi. 

Gummi Acacias, aa. 3iss. 

Spiritus Lavendulas Compositi, 3ij- 

Aquae Fontanae, vel. Menthae, ^iv. 
Fiat mistura. — Signa. — A table-spoonful for a dose, every one 
or two hours. — Add, if desirable, Tinct. Opii, gtt. xl. vel. 1. 

Draught with Valerian and Carbonate of Ammonia. 

R. Pulveris Valerianae, 9j. 

Sub-carbonatis Ammoniae, gr. xv. 

Aquae Cinnamomi, ^ij. 
Misce. — Fiat Haustus. — To be taken every fourth hour. Suit- 
ed to cases of nervous headache, and depression of spirits. 






STIMULANTS. 85 

Draught with Powdered Ginger, fyc. 

R. Pulveris Zingiberis, gr. xv. 

Sub-carbonatis Ammoniee, gr. viij. 

Spiritus Cinnamomi, 3ij. 

Aquse, 5iss. 
Misce. — Signa. — To be taken at once. In cases of gout in 

the stomach. 

Camphor Mixture. 

R. Camphoree, 3j. 

Pulveris Gummi Arabici. 

Sacchari Albi, aa. 3iss. 

Tincturse Opii, gtt. xl. 

Aquse Menthte, ^iv. 
Fiat mistura. — Signa. — A table-spoonful to be given every two 

hours. 

In reducing camphor to powder, (which must be 
done before it can be formed into a mixture,) it is ne- 
cessary to add to it a few drops of alcohol. 

Camphor in Milk. 

R. Camphorae, 3j. 

Lactis Bullientis, ^iv. 
Fiat solutio. — This preparation may be taken in the manner as 

directed in the former. 

Camphor Julap. 

£. Camphoree, 3j. 

Aquse Bullientis, §viij. 

Fiat mistura. — This preparation should be set aside in a covered 
vessel for half an hour and then strained. — Signa. — A table- 
spoonful for a dose pro re nata. 

Camphor with Magnesia. 

R. Camphorge Pulverizatae, 3j. 

Magnesiee Sub-carbonatis, 3ij- 

Aquae Fontanse, Oj. 
Fiat mistura. 

12 



86 STIMULANTS. 

This prescription answers the same purpose as the 
former. It is considered a more elegant preparation, 
and is given in the same doses. It should be suffered 
to settle, and the clear liquor, which is slightly im- 
pregnated with the camphor decanted for use. 

Camphor with Myrrh. 
R. Camphorge Pulverizatae, 3j- 

Pulveris Gummi Myrrhee, 5ss. 

Sacchari Albi, 3ij. 

Aquee Fontis, §vj. 
Misce. — Signa. — A table-spoonful to be given every two hours. 

Mixture with Oil of Turpentine. 
R. 01 ei Terebinthinae, gtt. cxx. 

Pulveris Gummi Arabici. 

Sacchari Albi, aa. 3ij. 

Tincturee Opii, gtt. lx. 

Lavendulee Composite, 5ij- 

Aquge Men thee Sativee, ^v. 
Fiat mistura. — Signa. — A table-spoonful for a dose every two 

hours. 

This remedy has gained great reputation in some 
of the low forms of fever. The author once employ- 
ed it in the dose prescribed above, in passive haemorr- 
hage from the bowels, with complete success ; and in 
haemorrhage from the bladder, resulting from low 
fever, he knows it to have been given with equal ad- 
vantage. 

Linctus with Oil of Turpentine. 
R. Olei Terebinthinse, gij, 

Mellis Optimi, §j. 
Fiat Linctus. — Dose a tea-spoonful night and morning, with a 

draught of warm tea. In the Sciatica. 

Emulsion of Phosphorus. 
R. Phosphori Puri, gr. ij. 
Mucilaginis Arabici, q. s. 



STIMULANTS. 8/ 

Let these articles be carefully and effectually triturated in a 
mortar, and add gradually as much Aqua Pura as will make 
an emulsion of gvj. then add — 
Syrupi Simplicis, ^j. 
Liquoris Hoffman! Mineralis, gtt. xxx. 
Fiat mistura. — Of which the usual dose is a table-spoonful every 
two hours. 

This preparation was originally prepared by the 
celebrated Hufeland, and is now taken from Dr. 
Chapman's Therapeutics, p. 176, vol. 2. 

The violence of the remedy, and its very great 
power, are generally known to physicians. We need 
hardly repeat the necessity there is for the greatest 
caution in its administration. 

It is sometimes given in sweet oil, but this is said 
to be extremely nauseous. A saturated solution of 
aether has also been employed, and is perhaps as 
neat a mode as any other. This solution contains 
about eight grains to the ounce. 

Mustard Wliey. 

R. Lactis Vaccinae, ^bj. 

Seminum Sinapeos Contus. ^j. 
Simmer until the caseous part separates, then strain, and add — 

Vini Albi, §vj. 
Signa. — A draught of this whey may be taken every hour or two 
in low fevers, and cases of debilitated stomach. 

TJlne Whey. 

R. Lactis Vaccinae, Oss. 

Vini Albi, (Madeira,) ^j. vel. ^ij. 
Boil the milk and then add the wine. 

There are few mild stimulants more employed, or 
more useful than wine whey.. Dr. Chapman speaks 
of it as having particularly a kindred action with car- 
bonate of ammonia. The dose to be regulated by 



88 STIMULANTS. 

the circumstances of the case ; from four ounces to 
ten during the day. 

Infusion of Cayenne Pepper. 
R. Pulveris Capsici Annui, 3iss. 

Aquse Bullientis, Oss. 
Fiat infusum. — Signa. — A table-spoonful for a dose in severe 

colic, or gout in the stomach. 

For the external use of it, see Kubefacients. 

Infusion of Cloves. 

R. Caryophilli Contusi, 3j- 

Aquae Bullientis, Oss. 
Fiat infusum. — Signa. — To be employed in the same cases, and 
in similar doses, as the former. 

This preparation is also very useful as an adjunct 
to Bark in intermittent fever. 

An infusion of Ginger 
Is also an excellent stomachic, and may be employed with great 
benefit in debility of the stomach and bowels. 

Mixture with Wine, fyc. 
£. Vitelli Ovi, j. 

Olei Cinnamomi, gtt. xx. 
Misce, et adde — 

Vini Albi, (Madeira.) 

Aquae Cinnamomi, aa. §iij. 

Distillatae, §ij. 

Sacchari Albi, gij. 
Signa. — Three spoonsful for a dose. During convalescence 
from low fevers. 

Mixture of the Hydriodate of Potash, fyc. 

R. Hydriodatis Potassae, gr. ij. 

Sulphatis Magnesiae, ^ss. 

Tartritis Antimonii et Potassae, gr. ss. 

Aquae Fluvialis, 5vj. 
Misce. — Signa.— A tea-spoonful three or four times a day. In 
scrofula. 






STIMULANTS. 89 

Iodine and its preparations have been so seldom 
employed, that it is difficult to say to what class it 
properly belongs. We have taken the liberty of in- 
serting it here from convenience. 

Ointment of Hydriodate of Potash. 

R. Hjdriodatis Potassse, 9j. 

Cerati SimpKcis, ^j. 
Fiat Unguentum. 

To be applied to scrofulous swellings where the 
skin is unbroken. 



( yo ) 



CLASS XL 



NARCOTICS. 

NARCOTICS have been denominated Sedatives, 
from their power of diminishing action; Anodynes, 
from their capability of alleviating pain ; and Hyp- 
notics or Soporifics, from their power of inducing 
sleep. A few words only will be necessary as general 
rules for their administration, and any peculiarities 
that individuals of the class may possess will be no- 
ticed under the appropriate prescriptions. It is well 
known they possess the power of fulfilling two indi- 
cations, viz. of exciting and depressing the powers 
of the system. 

To obtain the first of these results, it is necessary 
to begin with small doses, and repeat them frequently 
— while in order to arrive at the second, a full dose 
must be given, and not resorted to again for a consi- 
derable length of time. We should also bear in mind, 
that the system very soon becomes habituated to their 
action, and the doses must be continually enlarged if it 
is found necessary to maintain their impression. The 
difference between the susceptibility to their action 
when the body is in a morbid or healthy condition, 
should not be forgotten during their exhibition. 

PILLS. 

R. Pulveris Opii, gr. xij. 
Saponis Albi, gr. iij. 
Misce et divide in pilulas xij. — Of which one is the ordinary 
dose to produce sleep. 



NARCOTICS. 91 

Iu equal weights of powdered and soft opium the 
former is much the most powerful, the latter contain- 
ing a considerable proportion of water. This should 
be recollected when we are directing them in the 
shape of pills. 

An opium pill that has been made long enough to 
become perfectly hard and dry, will be retained by 
an irritable stomach when a fresh one would be re- 
jected. 

Pills of Opium, Hyosciamus, fyc. 

R. Pulveris Opii, gr. iv. 

Extracti Hyosciami. 

Conii, aa. gr. xv. 

Fiat massa in pilulas vj. — Dividenda. — One every night where 

an anodyne is required. 

Pills of Extract of Hyosciamus. 

R. Extracti Hyosciami Nigri, 9j. 

Divide in pilulas x. — Of which one may be given every four 
hours, increasing the dose as required. 

This medicine is employed as a substitute for 
opium, and is said not to constipate the bowels. 

Pills of Extract of Stramonium. 

R. Extracti Stramonii, 3ss« 

Divide in pilulas xv. — Signa.— One three times a day. 

The powdered leaves and seeds are also employed 
in similar doses. Vide Expectorants. „ 

Opiate Confection. 

R. Confectionis Opii, Jss. 

To be given for a dose. — One grain of opium is contained in 
forty-three grains of the Edinburgh confection. 

Pills of Extract of Cicuta. 

R. Extracti Cicutse, 3j* 

Pulveris Foliorum Conii, q. s. 



9S NARCOTICS. 

Ut fiat massa et in pilulas xx dividends — One of these pills 
night and morning, may be taken at the commencement, gra- 
dually increasing them to two, three, four, or more, as the 
patient can bear them. 

Pills of Opium, Digitalis, fyc. 
R. Pulveris Opii. 

Digitalis, aa. gr. vj. 

Conserve Rosarum, q. s. 
Ut fiant pilulge xij. — Signa. — One to be taken every four hours. 
Useful in Asthma, &c. 

Pills of Extract of Cicuta and Calomel, 
R. Extracti Cicutse, 9ij. 
Calomelanos, gr. xv. 
Misce fiant pilulge xv. — Signa. — One three times a day. In 
pseudo-syphilitic affections. 

Pills of Powdered Nux Vomica. 
R. Pulveris Nucis Vomicse, 3 SS « 

Conservee Rosarum, q. s. 
Ut fiant Pilulge x. — Signa. — One to be given two or three times 
a day, closely watching the effects. In paralysis. 

Pills of the Resin of Nux Vomica. 

R. Extracti Nucis Vomicae Resinosi, gr. x. 
Divide in pilulas xv. — One pill twice a day, gradually augment- 
ing until the tetanic effects are produced. 

Pills of Strychnine. 
R. Strychninse, gr. ij. 

Conservee Rosarum, q. s. 
Ut fiant pilulee^xxiv. — Of which one pill may be given once or 
twice a day, according to the idiosyncrasy of the patient. 

This latter medicine is still more powerful than the 
two former; for their mode of preparation, manner 
of exhibition, and peculiar effects, see Magendie's 
Formulary, page 82. It is only necessary in this 
place to observe, that great nicety is requisite in di- 
viding the mass into pills of^equal strength. 



NARCOTICS. 93 

MIXTURES, TINCTURES, &c. 

Opiate Mixture. 
ft. Pulveris Opii, 9ss. 
Sacchari Albi, 3j. 
Aquae Cinnamomi, ^vj. 
Fiat mistura. — Signa. — A table-spoonful may be taken every 
two hours, so that the whole be consumed in the twenty -four. 
In cases of tetanus and colica pictonum. 

Hemlock Mixture. 
R. Succi Cicutae Spissati, 3ss. 

Syrupi Papaveris Albi, ^j. 

Aquee Fluvialis, ^vij. 
Misce. — A table-spoonful three or four times a day tb»a dose. 

Tincture of Resin of Nux Vomica. 
R. Extracti Nucis Vomicae Exsiccati, gr. iij. 

Spiritus Vini Rectificati, ^j. 
Fiat tinctura. — This tincture to be given in doses of fifteen or 
twenty drops in any kind of drink. 

This preparation, and the pills made of the resin 
of nux vomica, have been employed in France; Wt 
are so exceedingly poisonous, that they ought to be 
resorted to with the greatest caution. 

Opiate Collyrium. 
R. Pulveris Opii, gr. j. 

Camphoree, gr. v. 

Mucilaginis Acaciae, §j. 
Misce, et fiat collyrium. 

Anodyne Draught. 
R. Tincturae Opii, gtt. xv. vel. xxv. 
Syrupi Papaveris, 3ij. 
Spiritus Cinnamomi, 3j« 
Aquae Fontanae, ^iss. 
Misce. — Signa. — Anodyne draught. Laudanum is very disa- 
greeable to some persons^ combined as above, the taste may 
be covered. 

13 



94 NARCOTICS. 

As the regulation of doses for children, is one of 
the most difficult parts of prescribing, to the young 
practitioner, and as laudanum is an article so univer- 
sally employed in their diseases, we subjoin the fol- 
lowing graduated table from Dr. Dorsey's Syllabus, 
1817, page 36. 

From a child at birth, or within a month after 5 to 1 drop. 

Under a year old £ to 2 or 3 

From one to two years of age - - 1 to 5 

From two to five - 2 to 8 

From five to ten 5 to 15 

From ten to fifteen - - - - -10 to 20 

At fifteeg years 15 to 20 

For an adult - 25 to 30 

It is important in the employment of this remedy, 
that it should be a saturated tincture, and perfectly 
transparent. For these reasons it should be obtained 
from the apothecary in small quantities, as it is liable 
to deposit part of the opium; hence the liquid near 
the surface is weaker, and causes that in the bottom 
of the vial to be very strong if it be shaken before 
using. Infants have been destroyed by the exhibition 
of thick laudanum. Physicians, therefore, should al- 
ways examine the vial, if any be in the possession of 
a family, before trusting the nurse to give a dose to a 
child. ' 

Solution of Acetate of Morphine. 
&. Acetatis Morphinee, gr. xvj. 

Aquae Distillatse, 3vj. 

Acidi Acetici Diluti, Jij. 
Misce. — The dose is from six to twenty-four drops. 

This preparation, as also the sulphate of morphine, 
have been much employed in Paris ; they are stated 
to produce all the beneficial effects of opium, without 
any of the inconveniences attending that substance. 



NARCOTICS. 95 

The acetate is prepared by directly combining mor- 
phine and acetic acid, and evaporating the solution to 
dryness. — See Magendie's Formulary, p. 38. 

Black Drop. 

B. Tincturae Opii Acetatse, $i. 

From six to eight drops of this preparation may be given to an 
adult for a dose. It is said to be three times the strength of 
laudanum, but has obtained celebrity from the fact, that it 
equally promotes the ends of laudanum, without affecting the 
head and stomach. Where it cannot be had, it is stated by 
Dr. Chapman, that by giving the alcoholic tincture of opium 
in vinegar, we obtain nearly the same results. 

Elixir Paregoric. 
R. Tincturae Opii Camphoratee. 

A tea-spoonful of this may be given to an adult for a dose. It is 
principally employed as an expectorant. 

Wine of Opium. 
The dose of the Vinum Opii is the same as the spiritous tincture; 
though we believe it is seldom employed, except as an exter- 
nal application to chronic inflammation of the eyes. 

Tincture of Digitalis. 

R. Tincturae Digitalis, 3ij. 

Of which ten drops may be given at first twice or three times a 
day, increasing the quantity as the system becomes accus- 
tomed to it. The peculiar character of this remedy should in- 
duce caution in giving it. 

For its particular applications and effects, see Ex- 
pectorants and Diuretics. 

Infusion and Tincture of Digitalis. 
Vide Diuretics and Expectorants. 

Infusion of Cicuta. 

R. Foliorum Cicutae, gss. 

Aquae Bullientis, Oj. 
Fiat infusum et cola. — Signa. — To be applied as a wash to can- 
cerous and scirrhous ulcers. , 

A cataplasm is also employed for the same pur- 



1)6 NARCOTICS. 

pose, made by mixing the powdered cicuta leaves 
with a bread and water poultice. 

Solution of the Extract of Belladona. 
R. Extracti Belladonnae, 9j. 

Aquae Fontanae, §iij. 
Fiat solutio.— «Signa. — To be applied to the eye in cases of ca- 
taract, for the purpose of dilating the pupil and exposing the 
lens. 

The extract of belladonna is occasionally given in 
doses of a grain three or four times a day. 

Infusion of Hyasciamus Niger. 
R. Foliorum Hyosciami Nigri, gss. 

Aquae Bullientis, Oj. 
Fiat Infusum. — Employed as an external application to cancer- 
ous, scrofulous, and other indolent ulcers. , 

Decoction of Bitter Sweet. 
R. Dulcamarae, ^j. 

Aquae Fluvialis, Ojss. 
Boil down to a pint and strain. 

Dr. Chapman directs a wine-glassful to be taken 
frequently, and gradually increased, until a pint is 
consumed daily, in chronic eruptions, &c. The same 
preparation is employed as a wash. 

Decoction of Stramonium in Milk. 
R. Foliorum Stramonii, 3ij. 

Lactis Recentis, Oiss. 
Boil down to a pint and strain. Apply to gouty, rheumatic, and 
other painful swellings. 

Stramonium ointment is a very good application to 
piles, &c. &c. — Chap. Therap. p. 254i. 

Opium Enema. 
R. Pulveris Opii, gr. ij. 

Mucilaginis Acaciae, ?ss. 

Lactis Tepefacti, ^vj. 
Misce pro enemate. 



NARCOTICS. 97 

Laudanum Enema. 

R. Tincturae Thebaicae, 3j. 

Infusi Lini, ^vj. 
Fiat enema. 

It is generally observed that three times the quan- 
tity of a remedy may be thrown into the rectum, that 
may be taken into the stomach. As regards opium, 
however, we believe it to be too much, particularly 
in children. 

Suppository of Opium. 

R Pulveris Opii, gr. ij. 

Saponis Albi, gr. iv. 
Misce bene. — Introduce into the rectum, where an enema 

cannot be administered. 

Plaster of Opium, fyc. 

R. Opii Puri. 

Camphorae, aa. 3ss. 
Emplastri Lithargyri, 3ij« 
Melt the plaster, and having previously powdered the other ar- 
ticles, mix them gradually, stirring it. For local pains. 

Plaster of Opium. 

R. Pulveris Opii. 

C amphorae. 

Saponis Albi, aa. 3j« 

Tincturae Thebaicae, q. s. — ut fiat emplastrum. 

This plaster is recommended by Dr. Dewees, and 
is employed in the same cases as the above. Ano- 
ther, and the most common plan, is to spread The- 
riaca Andromachi on leather of the size required, 
and cover it with powdered opium, sprinkling a lit- 
tle laudanum to promote the adhesion of the opium. 



( »8 ) 



CLASS XII 



ANTISPASMODICS. 

ANTISPASMODICS are those medicines which 
allay spasm, and compose the irregular action of the 
nervous system. Some of the most powerful of them 
are derived from the class of Narcotics. 

Pills of Jlssafoztida and Soap. 

R. Gummi Assgefoetidse, 3j« 

Saponis Albi, gr. x. 

Aquae Fontis, q. s. 
Ut fiant pilulse xx.~ Two or four of these pills may be taken 
for a dose and repeated pro re nata. 

Pilulae Asseefoetidae cum aloe, et 
- cum Rheo, 

May be given in the same doses as those made 



with soap only. 



Opium Pills. 
As under Narcotics. 



Pills with Castor and Salt of Amber. 

}£. Castorei, 3j> 
Salis Succini, 3 SS « 
Extracti Gentianee, q. s. 
Ut fiant pilulae xxiv. — Dose three pills night and morning. In 
hysteria. 

Calomel Pills. 
As under Sialagogues. 



ANTISPASMODICS. 99 

Bolus with Valerian and Rust of Iron. 

R. Pulveris Radicis Valerianae, 3j. 

Sub-carbonatis Ferri, 9ss. 

Mucilaginis Acaciae, q. s. 
Ut fiat bolus. — One three times a day. 

Bolus with Musk and Camphor. 

R. Camphorae, gr. v. 

Moschi, gr. xv. 

Syrupi Simplicis, q. s. 
Ut fiat bolus. — Signa. — To be taken at once. 

This is a pretty strong dose, but can be readily mo- 
dified by the practitioner. 

To confine the aroma, musk should always be kept 
in vials, whether in pills or otherwise. 

Bolus with Musk and Sub-carbonate of Ammonia. 

R. Moschi. 

Sub-carbonatis Ammoniae, aa. 9ss. 

Conservae Rosarum, q. s. 
Ut fiat bolus.— To be taken every third hour. 

Recommended in mortification accompanied witli 
spasmodic action. 

Musk Mixture. 

R. Moschi Optimi, 3ij. 

Sacchari Albi, 3j« 

Pulveris Gummi Arabici, Jij. 

Aquse Fontanae, 3jvj. 
Fiat mistura.— Signa. — A table-spoonful to be given every one 

or two hours. 

Mixture with Musk, tyc. 

R. Misturae Moschatae, gvj. 

Tincturse Opii Camphoratae, 5ss. 

Valerianae Ammoniatse, 3j- 

Misce. — Signa. — A tea-spoonful three or four times a day. For 
children in pertussis. 



100 ANTISPASMODICS. 

Tincture of Jlssafcetida, Castor, fye. 

R. Tincturae Assaefoetidae. 

Castorei, aa. 5ss. 

Aquae Ammoniae, 3\j- 
Misce. — A tea-spoonful may be taken in a glass of water for a 
dose. 

Hoffman's Anodyne and Laudanum. 

R. Liquoris Anodyni Hoffmani, 3iij. 

Tincturae Thebaicae, gtt. lxxx. 

Aquae Cinnamomi, 5 v j« 
Fiat mistura. — Signa.— A table-spoonful every one or two hours. 
In hysteria, &c. 

Mixture with Jissafoetida, fyc. 

R. Assaefoetidae, 3j* 

Aquge Menthee Piperis, §iss. 
Fiat solutio, et adde— - 

Tincturae Valerianae Ammoniatae, 3ij« 

Castorei, 3"j« 

Athens Sulphurici, 3j. 
Signa. — A table-spoonful for a dose every second hour. In 
hysteria. 

Tincture of Valerian and Hoffman's Anodyne. 

R. Liquoris Hoffmani Mineralis. 
Tincturae Valerianae, aa. ^j. 
Misce. — Signa. — A tea-spoonful for a dose, pro re nata. — 
Shaking the vial each time. 

Mixture with JEther and Laudanum. 

R. JEtheris Sulphurici, 3y. 
Sacchari Albi. 
Gummi Acaciae, aa. 3i ss * 
Tincturae Thebaicae, gtt. lx. 
Aquae Cinnamomi, §ij. 
Misce. — -Signa. — A tea-spoonful every hour. In cramp of the 
stomach, &c. 



ANTISPASMODICS. 101 

Assafoetida Enema. 

B. Assaefcetidae, 3ij. 

Decocti Avenae, §x. vel. ^xij. 
Misce pro enemate. — Tine. Opii may be added pro re nata. In 
hysteria, spasmodic colic, &c. 

Musk Clyster. 

H« Moschi, gr. xij. 

Sacchari Purificati, 9ij. 

Gummi Acaciae Contriti, 9jss. 

Spiritus Ammonias, gtt. xxx. 

Infusi Lini, ^iv. 
Fiat enema. — For children seized with convulsions. 

Confection of Opium, fyc 

R. Confectionis Opii, 3vj. 

Tincturae Camphorae, $x. 

Aceti Distillati, ^ij. 
Misce. — To be applied as a plaster warm to the region of the 
stomach. In vomitings, &c. 

Opiate Plaster. 
As under Narcotics. 

Hemlock Plaster. 
As under Narcotics. 

Tobacco Clyster. 
As under Cathartics. 



14! 



{ 102 ) 



CLASS XIIL 



SIALAGOGUES. 

THOSE medicines which increase the salivary 
secretion are denominated Sialagogues. In forming 
these into a class in this place, we trespass somewhat 
upon the arrangement of Dr. Chapman, but merely 
from a motive of convenience ; for we agree with him 
that such a class is better expunged from the Materia 
Medica, at the same time that it appeared necessary 
to introduce it here, in order to place the mercurial 
preparations in stronger relief than could otherwise 
be done. 

Pills of Calomel. 

R. Calomelanos, gr. xij. 

Conservae Rosarum, q. s. 
Ut fiant pilulae xij. — Signa. — One morning and evening, and if 
necessary until salivation is excited. 

Pills of Corrosive Sublimate. 

R. Muriatis Hydrargyri. 

Ammoniae, aa. gr. v. 

Aquae Distillatae, gtt. xxx. vel. xl. 

Conservae Rosarum, 9j. 

Pulveris Glycyrrhizae, q. s. 
Ut fiant pilulae xl. — Of which give one pill three or four times 
a day. In lues venerea. 



SIALAGOGUES. 103 

Pills with Corrosive Sublimate and Hemlock. 

R. Muriatis Hydrargyri, gr. vj. 

Solvantur in — 

Aquam Distillatam, q. s. et adde — 

Succi Cicutse Spissati, 3j« cum 

Pulvere Cicutae, q. s. 
Ut fiat massa, in pilulas xlviij dividenda. 

These pills contain the same quantity of the mer- 
cury as the former, and may he given in the same 
number, and for the same purpose. 

Pills of Jlcetated Mercury. 

B. Acetatis Hydrargyri. 

Mannas Optimae. 

Pulveris Acacias, aa. 9j. 

Aquse Rosarum, q. s. 
Ut fiant pilulas xx. — Of which let three be taken every night, 
till a gentle salivation is excited. 

This preparation is said to be the mildest of the 
mercurial salts, and is less apt to disturb the bowels, 
but it is believed to be less efficacious in arresting the 
venereal disease. 

The effect of the mercurial preparations upon chil- 
dren is sometimes very serious, and even fatal. So 
susceptible are they to the impression of this medi- 
cine, that a profuse or even gentle salivation, will 
sometimes produce mortification and destruction to 
the jaw, cheek, aud lip. This, however, does not 
often happen, but is such a shocking occurrence that 
their gums should be frequently and carefully examin- 
ed whilst they are taking mercury. It is, neverthe- 
less, a fact, that a disease precisely similar in all its 
features occasionally attacks children who are badly 
cloathed and fed, though no mercury has been given 
to them. 



104 SIALAGOGUES. 

Pills with Calomel^ Camphor, fyc. 

R. Calomelanos. 

Camphorse, aa. 3j. 
Pulveris Opii, gr. xij. 
Syrupi Simplicis, q. s. 
Ut fiant pilulae xx. — Signa. — One or two to be taken morning, 
noon, and night. In cases where calomel by itself causes 
purging. 

Blue Mercurial Pills. 

R. Massse ex Hydrargyro, 9iss. 

Divide in pilulas xij. — Signa. — One may be taken three or four 
times a day, according to circumstances. 

If they should produce any effect upon the bowels 
not desired, Pulv. Opii, gr. ss. may be added. The 
mass directed in the American Pharmacopoeia con- 
tains one grain of mercury in every two and a half 
grains. One grain is contained in four of the Edin- 
burgh — and three of the London and Dublin. 

Calomel Pills. 

R. Calomelanos, gr. ij. 

Conservae Rosarum, q. s. 
Ut fiant pilulae xij. — Of which one may be taken every one or 
two hours. In cases of marasmus. 

The above prescription is inserted here because no 
place in the book appeared more suitable. 

The use of calomel in minute doses has become 
very general, and certainly if we may be allowed to 
give our experience, very deservedly so. In the 
hepatic and intestinal complaints of children, it is 
productive of the happiest results when carefully 
managed. — Vide Ayr on Marasmus. 



SIALAGOGUES. 105 

Pills of the Red Oxide of Mercury. 

g. Oxidi Hydrargyri Rubri, gr. iij. 

Pulveris Opii, gr. j. 

Olei Caryophilli, gtt. ij. 
Fiant pilulae iij. — Signa. — One pill every night for a week. In 
venereal cases. 

This preparation was formerly used by the cele- 
brated J. Hunter, but from its harshness it is now 
generally superseded by others. 

Mixture with Muriate of Mercury, 
R. Muriatis Hydrargyri, gr. ij. 

Aquae Fontis Purae, gvj. 

Spiritus Cinnamomi. 

Syrupi Simplicis, aa. ±j. 
Misce. — Dose. — One or two large spoonsful, twice or thrice a 

day. In venereal cases. 

Spirituous Solution of Corrosive Sublimate. 

R. Muriatis Hydrargyri, gr. ij. 
Spiritus Vini Tenuoris, 5iv. 
Solve. — Of which a table-spoonful, night and morning, may be 
taken in a draught of decoction of sarsaparilla. 

The muriate of mercury is decidedly preferred by 
some physicians in the treatment of syphilis. John 
Hunter was of opinion, however, that the disease was 
more liable to recur, after its use, than when some 
of the other preparations had been employed. 

Strong Mercurial Ointment. 

R. Unguenti Hydrargyri Fortis, jy. 

One drachm of this ointment to be rubbed on the inside of the 
thighs, before the fire, every night. 

It is by some physicians recommended to employ 
the warm bath, before using this ointment, while 
others consider it useless. We think the practice may 



106 SIALAGOGUES. 

occasionally be beneficial. The hands of the person 
rubbing it on, if it be an attendant, should be enve- 
loped in a bladder, or gloves made of oiled silk. 

Strong Mercurial Ointment with Camphor. 

&. Unguenti Hydrargyri Fortis, ^j. 

Camphorae, 5J« 
Misce. — To be employed as the former. 

Masticatory with Pellitory, tyc. 

R. Pulveris Radicis Pyrethri. 
Resinae Mastiches, aa. 3j. 

Let these be dissolved together by a moderate application of 
heat: then divide the mass into two equal parts. One of these 
lumps may be chewed at pleasure. In tooth -ache and para- 
lytic affections of the tongue. 

Mixture of Pellitory, Opium, fyc. 
R. Radicis Pyrethri Contusae, ^ss. 

Aceti Distillati, 3 v j- 

Gummi Opii, gr. iij. 
Digest in a sand-bath for an hour. — Signa. — A spoonful to be 

held in the mouth and frequently renewed. Used in the same 

cases as the former. 

There are several other substances, such as poly- 
gala senega, nitric acid, &c. which occasionally ex- 
cite salivation; but as this is simply one effect of these 
remedies, and one of little consequence, they are 
treated of under more appropriate heads. 












( 107 ) 



CLASS XIV. 



TONICS. 

THOSE medicines are considered Tonics, which 
impart strength to the system without subjecting it to 
any preternatural excitement during their operation. 
They stimulate, however, in a secondary manner, by 
gradually increasing the force of the circulation, and 
by restoring the digestive and secretory functions to 
a more healthy state. Considerable perseverance is 
often necessary in giving any one of this class a fair 
trial ; and when one fails, we may often resort with 
success to another ; much also may sometimes be 
gained by alternating them. 

POWDERS, &c. 

Powder of Peruvian Bark. 

&. Pulveris Cinchonae Optimse. 

A drachm or a tea-spoonful to be taken every hour in wine, 
water, or milk, during the intermission of fever and ague. 

It is directed by some practitioners to suspend the 
bark till within a few hours of the expected paroxysm; 
and by a few others to administer it during the hot 
stage of the disease. We have generally found it to 
be the most successful plan to commence immediately 
after the paroxysm has ended, and give every hour a 
dose of the remedy until the expected period of its 



108 TONICS. 

return, and if the chill does not recur to continue it 
in smaller quantities for several days. 

Powder of Peruvian Bark and Cloves. 

R. Pulveris Cinchonae. 

Super-tartritis Potassae, aa. §j. 

Pulveris Caryophilli, 3j« 
Misce.— Dose.— A drachm and a half every second hour. 

This compound will sometimes succeed when the 
bark alone fails. 

Powder of Peruvian Bark and Sulphate of Magnesia. 

R. Pulveris Cinchonae. 

Sulphatis Magnesiae, aa. 5 v j* 
Fiat pulvis et divide in partes aequales iv. — One to be taken 
every two hours, where purging is required. 

Powder of Peruvian Bark, Snake Boot, fyc. 

R. Pulveris Cinchonse, §ss. 

Serpentarise, 3j* 

Sodae Sub-Carbonatis, gr. xl. 
Misce.— Divide in chartulas iv. — Signa.— One to be given every 
two hours. In obstinate intermittents. 

If the bark should purge when given alone, a little 
opium may be added: when it oppresses the sto- 
mach, cloves, as in a former prescription. If costive- 
ness should follow, rhubarb, or sulphate of magnesia 
may be used. The alkali in the above preparation 
will correct acidity if it be caused by the Cinchona. 

Powder of Jlngustura Bark. 

R. Pulveris Cusparige Febrifugae, §ss. 

Divide in chartulas vj. — Of which one may be taken three or 
four times a day, in water or any other vehicle. 

This remedy we learn has been successfully em- 
ployed in uterine haemorrhage. 



TONICS. 109 

Powder of Colombo:, Ginger, 4*c. 

R. Pulveris Colombae. 

Sub-carbonatis Ferri. 

Rhei. 

Zingiberis, aa. 3j. 

Misce. — Fiant Doses xij. — One to be taken three times a day. 

in molasses. 

Powder of Colombo, and Tartrite of Iron. 

R.Tartritis Ferri, 9ij. 

Pulveris Colombae, 3j. 
Fiant pulveres iv. — Signa. — One every three or four hours, in 
syrup. 

Powder ivith Rust of Iron, fyc. 

R. Sulphatis Ferri, 3ij. 

Sub-carbonatis Ferri, 3i ss « 
Divide in pulveres xij. — Signa. — One to be taken morning, 
noon, and night, in syrup or molasses. 

Powder of Prussiate of Iron and Guaiacum. 

R. Prussiatis Ferri. 

Pulveris Guaiaci, aa. 3j. 
Misce et divide in chartulas xij. — Signa. — One three times a 
day. 

This prescription has been successfully employed 
in obstinate intermittents. 

Pills of Extract of Bark, £c. 

R. Extracti Cinchonae. 

Gentianae, aa. 3j» 

Sulphatis Ferri, Jss. 

Pulveris Myrrhae, 3j« 

01 ei Carui, gtt. x. 

Syrupi Zingiberis, q. s. 
Ut fiant pilulse lx.— Signa. — Three to be taken three times a 
day. 

Id 



110 TUJS1CS. 

Pills of Sulphate of Quinine, Sfc. 

&. Sulphatis Quiniae vel. Quininae, gr. x. 

Conservae Rosarum, q. s. 
Ut fiant pilulae x. — Signa.- — One to be given every hour in the 
apyrexia of intermittent fever. 

These are the names given for the essential princi- 
ple of the yellow bark by Brande in his Manual of 
Pharmacy. Dr. Paris calls it Quina. There is also 
another principle obtained from the cinchona lancifo- 
lia, or pale bark, which possesses very nearly the 
same powers as the first. This is called Cinchonia. 
These preparations produce all the effects of the Pe- 
ruvian bark, and have now almost entirely super- 
seded it. The sulphate of quinine affects the chest 
of the consumptive patient with tightness in an equal 
degree with the bark; and we have several times ob- 
served it to produce a soreness of the mouth exactly 
resembling that resulting from mercury. The obser- 
vations of some of our friends have confirmed this 
fact. 

An alkaline principle has recently been obtained 
from the Common Dogwood, Comics Florida, which 
appears from the experiments of Dr. S. G. Morton to 
be in most respects analogous to the quinine; it was 
discovered by Mr. Gr. W. Carpenter of this city, who 
calls it Cornine; it is used in the form of sulphate in 
the same cases and in similar doses as the sulphate 
of quinine. — Vide Philadelphia MedicalJournal, vol. 
xi. p. 195. 

Pills of Jlmmoniuret of Copper. 

K, Cupri Ammoniati, 9j. 

Conservae Rosarum, q. s. 
Ut fiant pilulae xxx. — Signa. — One or two to be taken at bed 

time. In Epilepsy. 



TONICS. Ill 

Pills with the Sulphate of Copper. 

R. Sulphatis Cupri, gr. iv. 

Extracti Cinchonas, gr. xxxij. 

Syrupi Simplicis, q. s. 
Ut fiat massa, in pilulas xvj. dividenda. — One to be taken four 
times a day. In obstinate intermittents. 

Pills of the Oxide of Bismuth. 

R. Sub-nitratis vel. Oxidi Bismuthi, ^ij- 

Mucilaginis Gummi Acaciae, q. s. 
Ut fiant pilulae xxx. — Signa.— One to be taken every two hours. 
In Dyspepsia. 

Pills of Muriate of Ammonia, Arsenic, fyc. 

R. Muriatis Ammonise, 3ss. 

Pulveris Opii, gr. viij. 

Arsenici Albi, gr. vj. 

Syrupi Simplicis, q. s. 
Ut fiant pilulae xxxij. — Of which one may be given three times 

a day. In intermittent fevers. 

These pills are strongly recommended by some 
practitioners. Much care is requisite in preparing 
them. 

Pills of Muriate of Ammonia, Iron, &,-€. 

R. Muriatis Ammonise et Ferri, 9j. 

Pulveris Rhei, gr. viij. 

Conserve Rosarum, q. s. 
Ut fiat massa in pilulas v. dividenda. 

This remedy is recommended in rachitis, and is to 
be continued with one pill a day for a fortnight, and 
then intermitted for the same length of time and again 
resumed. The intention of this direction appears to 
be to prevent the system from becoming habituated to 
the medicine. 



112 TONICS. 

Pills of Oxide of Zinc. 
H. Oxid' Zinci, 9ij. 

Conservae Rosarum, q. s. 
Ut fiant pilulae x. — Signa.— One three or four times a day. Iw 
Epilepsy, Chorea, &c. 

Dr. Chapman speaks favourably of this medicine, 
and recommends the above dose to begin with, and 
gradually to increase it. 

Pills of Steel Filings. 
R. Limaturae Ferri, gr. xvj. 
Extracti Gentianse, q. s. 
Ut fiat massa. — Divide in pilulas vj. — Signa. — One three times 
a day, followed by a draught of some bitter infusion. 

Pills of the Extract of Quassia. 
R. Extracti Quassige Mollis, 3j. 

Pulveris Gentianae, q. s. 
Ut fiant pilulae xx.~ Of which one may be taken three or four 
times a day, succeeded by a wine-glassful of the infusion of 
quassia. 

This is one of the purest bitters, and where we 
wish the effect of this class only to be exerted, we 
cannot select a more appropriate preparation. 

Pills of Nitrate of Silver, fyc. 
R. Nitratis Argenti, gr. iij. 
Pulveris Opii, 5ss. 

C amphorae. 

Nucis Moschatae, aa. 9j. 

Mucilaginis Acaciae, q. s. 
Ut fiat massa. — Divide in pilulas xlv. — Dose. — One morning 
and evening. In Chorea and Epilepsy. 

Pills of the Sulphate of Iron* 

R. Sulphatis Ferri, 3j. 
Extracti Gentianae, q. s. 

Ut fiat massa. — Divide in pilulas xxx. — One to be taken morn- 
ing, noon, and night. In Dyspepsia. 



TONICS. 113 

Electuary of Cinchona, Rust of Iron, fyc. 
ft. Pulveris Cinchonae Optimae. 

■ - Sub-carbonatis Ferri, aa. ^j. 
Balsami Copaivae, q. s. 
Ut fiat electuarium. — To be made, (by the patient,) into pills 
of the ordinary size. Of which four may be taken three times 
a day. 

Pills of the Nitro-Mwiate of Gold. 
ft. Nitro-Muriatis Auri, gr. v. 

Pulveris Glycyrrhizae Radicis, 3iss. 

Mucilaginis Acaciae, q. s. 
Ut fiat massa. — In pilulas lxxv. dividenda. — Signa. — One or 

two thrice a day. In Syphilis, &c. 

This metal is placed under the head of tonics by 
Dr. Chapman, and we have followed his example. 
Although once much extolled, it is now seldom used. 

Pills of Jimmoniuret of Copper and Extract of Quassia. 
ft. Cupri Ammoniati, 3ss. 

Extracti Quassiae Mollis, 3iss. 
Misce, et divide in pilulas xxx. — Of which one may be taken 
three times a day. In nervous diseases. 

MIXTURES, &c. 

Griffith's Myrrh Mixture. 
ft. Gummi Myrrhse, 3J- 

Sulphatis Ferri, 3j. 

Sub-carbonatis Potassae, 5j- 

Sacchari Purificati, 3ij« 

Aquae Fontanae, ^vj. 
Fiat mistura.— -Dose. — A table-spoonful according to circuni 

stances. Employed as a tonic in phthisis. 

Mixture with Sulphuric Acid, $c. 
R. Sulphatis Ferri, gr. ij. 
Acidi Sulphurici, gtt. x. 
Sacchari Albi, 3j« 
Aquse Fontanae, 5j. 



114 TONICS. 

Misce. — Signa. — A tea-spoonful for a dose, to be repeated 
every two, three, or four hours. Designed for children. 

Vinous Infusion of Carbonate of Iron, fyc. 
R. Sub-carbonatis Ferri, ^iss. 
Pulveris Radicis Gentianae. 
Corticis Aurantii Contusae, aa. ^ss. 
Vini Lusitanici Rubri, Oij. 
Macerate for two or three days, and give a wine-glassful two or 
three times a day. In dyspepsia arising from intemperance. 

Mixture with Tincture of Bark and Citrate of Potash. 
R. Succi Limonis Recenti, §jss. 
Sub-carbonatis Potassae, 3j- 
Tine tune Cinchonae, ^j. 
Aquae Cinnamomi, ^iij. 
Misce. — Signa. — A table-spoonful every two hours. In cases 
where it is desirable to promote the insensible perspiration 
whilst we are giving the Bark. 

Decoction of Cinchona. 
R. Corticis Cinchonae Contusae, §j. 

Aquae Fontis Frigidae, Oj. 
Boil for ten minutes — and while hot add — 
Serpentariae Radicis, ^ss. 
Corticis Aurantii Contusae, 3»j- 
And suffer them to infuse for half an hour near the fire in a 
covered vessel.— Dose.— A wine-glassful every hour. 

If the bark be boiled longer than ten minutes it 
deposits extractive and resinous matter, becomes 
paler, and is less efficient. The last ingredients are 
directed to be infused because their aromatic proper- 
ties would be dissipated by decoction. 

Decoction of Bark, <§'c. 
R. Decocti Cinchonae, 5vj. 

Tincturae Cinchonae Huxhami, ^j. 
Acidi Sulphurici Aromatici, gtt. xxxx. 
Misce. — A table-spoonful may be taken every one or two hours 
pro re nata. 



TONICS. 115 

By this preparation we obtain the extract both 
aqueous and alcoholic of the bark. 

Mixture with Decoction and Tincture of Bark, fyc. 
R. Decocti Cinchonae, giij. 

Tincture Huxhami, 5j. 

Pulveris Cinchonse, 3U- 

Syrupi Simplicis, 5ss. 
Fiat mistura. — A table-spoonful to be taken every one or two 

hours during the absence of fever. 

Mixture with Extract of Bark, fyc 
R. Extracti Cinchonae, 5j« 

Decocti Cinchonse, 5vj. 

Tincture Cardamomi, ^W. 
Misce. — A table-spoonful for a dose, as above directed. 

Mixture of Sulphate of Quinine. 

R. Sulphatis Quinime, gr. xij. 

Sacchari Albi. 

Pulveris Gummi Acaciae, 5a. 5,j- 

Aquae Cinnamomi, §ijss. 
Fiat mistura. — Signa. — A tea-spoonful every hour during the 
apyrexia of intermittents. 

Mixture of Sulphate of Quinine and Elixir Vitriol. 

R. Sulphatis Quininse, gr. xij. 

Acidi Sulphurici Aromatici, gtt. x. 

Sacchari Albi, 3j- 

Aquse Cinnamomi, §ijss. 
Misce. — Signa. — A tea-spoonful for a dose, as above. 

By the addition of the sulphuric acid we obtain a 
more elegant preparation, though perhaps but little 
increased in power. 

il fixture of Fowlers Solution, 4*^ 

R. Solutionis Arsenici Fowled, gtt. lx. 
Tincture Opii, gtt. xxx. 
Spiritus Lavendulse Compositi, 5.i* 
Aquee Cinnamomi, jiij. 



116 TONICS. 

Fiat mistura.-— Signa.—- A table-spoonful for an adult, a tea- 
spoonful for a child; to be administered every two hours 
during the apyrexia of intermittents. 

Acidulated Tincture of Gentian. 
R. Tincturae Gentianae Composite, §j. 

Acidi Sulphurici Aromatici, 3j. 
Misce. — A small tea-spoonful may be taken in sugar and water, 
three or four times a day. In Dyspepsia. 

Tincture of Bark. 

R. Tincturae Cinchonas Composite, §j. 

Signa. — A tea-spoonful for a dose, every two hours. 

In the same doses as the above may be taken, 

Tinctura Colombae — et 
Tinctura Gentianse Composita. 

Muriated Tincture of Iron. 

R. Tincturae Ferri Muriatis, ^j. 

From twenty to sixty or eighty drops may be taken in a glass 
of cold chamomile tea, twice or thrice a day. 

Infusion of Colomba and Ginger 

R. Radicis Colombae Contusae, ^j. 

Zingiberis, 5ij« 

Aquae Bullientis, Oj. 
Fiat Infusum.— Give of the strained liquor, (cold,) a wine-glass- 
ful every two hours. 

Infusion of Colomba, Rhubarb, fyc. 

R. Seminum Carui Contusorum. 

Radicis Colombae. 

Rhei, aa. 9j. 

Aquae Ferventis, §viij. 
Digest for two hours and strain. 
R. Liquoris Colati, §iijss. 

Tincturae Rhei, 3j« 

Syrupi Zingiberis, £ij. 
Misce. — Dose. — A tea-spoonful to a table-spoonful to children, 
according to their age. In Diarrhrea. 



TONICS. 117 

Infusion of Quassia. 

R. Ligni Quassiae. 

Radicis Serpentariae. 

Corticis Aurantii Contusae, Sa. ^ss. 

Aquae Bullientis, Oij. 
Fiat infusum et cola. — Of which a tea-cupful maybe taken colcL 
three times a day. 

Decoction of Bark and Valerian. 

R. Corticis Cinchonae Contusee, ^j. 

Boil in a pint of water for ten minutes, and strain. 

R. Radicis Valerianae Contusae, ^j. 

Aquse Bullientis, Oj. 
Infuse for one hour and strain. — Add the decoction of bark to 

this infusion, and give a tea-cupful cold, three or four times 

a day. 

This is a favourite prescription with Dr. Parrish, 
in certain cases of head ache which appear to depend 
upon rheumatism, and which are entirely unnianage- 
ble with the lancet, purgatives, &c. &c. 

Infusion of Chamomile and Orange Peel. 

R. Florum Anthemidis Nobilis, §j. 

Corticis Aurantii, 5ss. 

Aquae Frigidse, ft)iij. 
Macerate for twenty -four hours. — Dose. — A tea-cupful three or 
four times a day. 

The infusion of chamomile made with cold, is in 
general more grateful to the patient than when made 
with boiling water. 

Decoction of Angustura Bark. 

R. Corticis Cusparise Febrifugse Contusae, §j. 

Aquae Fontanae, Ojss. 
Boil for fifteen or twenty minutes, and strain. — Of this decoc- 
tion a wine-glassful may be taken every two hours. 

16 



118 TONICS. 

Decoction of Wild-Cherry Tree Bark. 
R. Corticis Pruni Vifginianae Contusae, ^j. 

Aurantii Contusse, 3'\j- 

Aquse Fontanae, Oj. 
Boil the bark alone for half an hour, and then add the orange 

peel. — A wine-glassful may be taken every hour or two in 

consumptive cases, asthma, &c. 

Infusion of Serpentaria. 
R. Serpen tarise Virginianae, §ss. 

Aquae Bullientis, Oj. 
Infuse in a covered vessel for one hour.— A wine-glassful every 
hour or two hours, pro re nata. 

Decoction of Dog- Wood Bark. 
R. Corticis Corni Floridae Contusae, ^j. 

Aquae Fontanae, Oj. 
Boil for twenty or thirty minutes and strain.— A wine-glassful 

may be given every hour, as a substitute for Peruvian Bark 

in intermittents. See Sulphate of Cornine. 

Infusion of Hops. 

R. Humuli Lupuli, §j. 
Aquae Ferventis, Oj. 

Infuse for two hours, and strain by expression.— *Of this a wine- 
glassful may be taken three or four times a day. In Dyspepsia. 

Infusion of Boneset. 
R. Eupatorii Perfoliati, §j. 

Aquae Bullientis, Oj. 
Infuse for two hours and strain.— Of this a wine-glassful mar 
be taken every one or two hours, cold. In intermittent fever. 

Enema of Extract of Bark, fyc 
R. Extracti Cinchonse, ^ss. 

Aquae Tepidae, §iv. 
Solve; dein adde — 
Olei Olivarum, ^ss. 
Tincturae Opii, gtt. x. 
Fiat enema. — Signa. — To be thrown up every fourth hour. In 
Intermittents. 






TONICS. 119 

Where it is preferred, the powdered bark may be 
used — say sij. mixed with some of the decoction 
instead of common water. The bark thus administer- 
ed, may occasionally be made to arrest an intermit- 
tent, where the patient cannot swallow it. Bark is 
also employed externally, in the form of a waistcoat, 
worn next the skin. A poultice made by mixing the 
powder and decoction into a paste, is occasionally 
applied to the region of the stomach ; and lastly, the 
decoction may be used as a semicupium. 



( ISO } 



CLASS XV. 



ASTRINGENTS. 

DOCTOR CULLEN describes Astringents to be 
u such substances as applied to the human body, pro- 
duce contraction and condensation in the soft solids, 
and thereby increase their density and force of cohe- 
sion." " And by the operation of this corrugating 
power," adds Dr. Murray, " either directly exerted 
on a part, or extended by sympathetic action, the 
morbid affections arising from a state of Relaxation 
are supposed to be removed." 

In the use of this class of medicines, there is one 
caution suggests itself; viz. that they should not be 
given to arrest evacuations that are critical, and de- 
signed by nature to relieve a plethoric state of the 
system ; unless, however, such evacuation exists to 
an alarming extent. 

POWDERS, &c. 

Compound Powder of Sulphate of Mumine. 

&. Sulphatis Aluminse et Potassse, £j. 

Pulveris Kino, gr» v. 
Misce. — Fiant pulveres v. — Signa. — One every two hours. In 
obstinate diarrhoea. 

This compound, though much employed and prais- 
ed by some practitioners, contains^ substances incom- 
patible with each other. 



ASTRINGENTS. ISi 

Powder with Sulphate of Alumine and Opium* 

R. Sulphatis Aluminse et Potassse, 3 SS * 

Pulveris Opii, gr. iij. 
Fiant Pulveres vj. — Signa. — One to be taken every three or four 
hours. In Diarrhoea. 

Powder of Blue Vitriol, $c. 

R. Sulphatis Cupri. 
Boli Armenas, aa. ^j. 
Camphorse, 3\j- 
Fiat Pulvis.— Project ^j. of this powder into a pound of boiling 
water — Filter the solution, and mix 3J« of it with ^j. of clear 
water, and apply it to the purulent eyes of infants by means 
of a syringe pro re nata. See Coopers Surgery. 

PILLS. 

Pills of Acetate of Lead and Opium, 

R. Sub-acetatis Plumbi, gr. xij. 
Pulveris Opii, gr. vj. 
Conservae Rosarum, q. s. 
Ut fiat massa in pilulas xij. dividenda. — One to be taken for a 
dose, according to circumstances. In Haemoptysis and other 
haemorrhages. 

Bolus with Alum and Extract of Bark. 

R. Sulphatis Aluminae et Potassae. 

Extracti Cinchonae. 

Nucis Myristicse, aa. 9ss. 

Syrupi Simplicis, q. s. 
Ut fiat bolus. — To be given in uterine and other haemorrhages, 
and repeated pro re nata. 

Electuary of Catechu and Opium. 

R. Electuarii Catechu, ^j. 

Suited to cases of diarrhoea, in tea-spoonful doses. Ten scru- 
ples contain one grain of opium. 



1SS ASTRINGENTS. 

Pills of Kino, Opium, fyc. 

R. Pulveris Kino, gr. xx. 

Opii, gr. ij. 

Mucilaginis Acaciae, q. s. 
Ut fiant pilulae iv.— Of which take one every four hours. In 
Diarrhoea, Pyrosis, &c. 

MIXTURES, INFUSIONS, &c. 

Infusion of Galls. 

R. Gallarum Contusarum, 3ij. 

Aquae Bullientis, ^xij. 
Infuse for four hours and strain. — This may be taken in doses 
of two table-spoonsful every hour or two hours. In Diarrhoea. 

Same. 

R. Infusi Gallarum, ^iv. 

Cretae Preparatae, 5ss. 

Tincturae Opii, 3j. 

Gummi Acaciae, 3j. 
Fiat mistura. — Dose. — A table-spoonful every two hours. 

Gargle of Infusion of Galls and Alcohol. 

R. Infusi Gallarum, ^vij. 

Spiritus Vini Rectificati, §j. 
Fiat gargarisma. — To be used frequently in relaxation of the 
uvula and soft palate. 

Injection of Kino, Alum, tyc. 
R. Pulveris Kino, 3ij- 

Sulphatis Aluminae et potassae, 3j. 

Mucilaginis Gummi Arabici, ^j. 
Aquae Fontanae, ftjj. 
Misce. — Fiat injectio. — Used in gleets. 

Infusion of Logwood 

R. Haematoxyli Ligni, ^ss. 
Aquae Bullientis, Oj. 

Infuse for two or three hours and strain.— Of this a table-spoon- 
ful may be given to children every two or three hours. In 
Cholera. 



ASTRINGENTS. 123 

Mixture of Extract of Logwood, fyc. 

R. Extracti Haematoxyli, 3iij. 
Aquae Fontis, ^vij. 
Tincturse Catechu, 5ij. 
Misce. — Signa. — Two spoonsful may be given once in three or 
fours hours. In the advanced stages of Dysentery and 
Diarrhoea. 

Mixture with Extract of Bark and Mum. 

R. Extracti Cinchonae, 5ss. 

Sulphatis Aluminae et Potassae, 9ij. 

Aquae Cinnamomi, ^v. 

Syrupi Limonis, §j. 
Misce. — Two spoonsful may be taken every two hours. In 
low diseases accompanied with haemorrhage. 

Mixture with Tincture of Catechu, 8,-c. 

R. Tincturse Catechu, ^j. 

Opii, gtt. lx. 

Pulveris Acacias, 3ij- 
Aquae Cinnamomi, ^vj. 

Misce. — Signa. — A table-spoonful every two hours. In Diar- 
rhoea. 

Solution of Vitriolated Zinc and Mum. 
As under Emetics. 

Mum Whey. 

R. Lactis Vaccinae Bullientis, Jfej. 

Pulveris Aluminis, 3ij. 
Boil them until the coagulum separates, and strain. — A cupful 

to be taken occasionally. In Diabetes, &c. 

Mum Curd. 

R. Pulveris Aluminis, 3ss. 

Albuminis Ovi, j. 
Agitate them well until a coagulum is formed. — To be applied. 

(on a linen rag,) to inflamed eyes. It should be removed in 

three or four hours. 



124: ASTRINGENTS. 

Injection of Sulphate of Zinc, fyc. 
R. Sulphatis Zinci, gr. x. 

Pulveris Acaciae, 3\j« 

Tincturae Opii, 3j- 

Aquae Fontis, §viij. 
Fiat Injectio. — Used in Gonorrhoea Virulenta. 

Injection of Corrosive Sublimate, fyc. 
R. Sulphatis Zinci, gr. x. 

Muriatis Hydrargyria Corrosivi, gr. ij. 

Aquae Rosarum, §viij. 
Fiat Injectio. — To be used in Gonorrhoea Chronica, (Gleet.) 

Colly rium of Solution of Mum. 

R. Pulveris Aluminis, gr. xij. vel. 9j. 
Aquae Rosarum, ^iv. 

Fiat Collyrium. — To be applied to the eye in chronic inflam- 
mation. 

Colly rium of Acetate of Zinc. 
R. Sulphatis Zinci. 

Sub-Acetatis Plumbi, aa. gr. vj. 
Aquae Rosarum, §iv. 
Fiat Collyrium. — In this prescription a double decomposition 
takes place, and acetate of zinc is held in solution, while the 
sulphate of lead falls to the bottom. The former is of course 
the remedy which constitutes the base of the lotion. 

Collyrium of Acetate of Lead, fyc. 
R. Liquoris Plumbi Acetatis, gtt. xij. 

ViniOpii, gtt. xl. 

Aqu&e Rosarum, ^iij. 
Fiat Collyrium. 

Gargle of Infusion of Oak Bark, $c. 
Rs. Corticis Querci Contusse, ^j. 

Aquae Fontanae, ffeiss. 
Boil to a pound and strain — then add — 

Sulphatis Aluminae, 3ss. 

Spiritus Vini Gallici, §ij. 
Misce. — To be applied to the uvula when swelled or relaxed. 






ASTRINGENTS. L25 

Clyster of Lime Water and Catechu. 

R. Aquae Calcis, ^x. 

Electuarii Catechu, ^ss. 
Misce pro enemate. — One-half to be injected at a time. In the 
diarrhoea of continued fevers. 

Solution of Sulphate of Copper. 

R. Sulphatis Cupri, 3j. 
Aquae Fontanae, ^j. 

Fiat solutio —To be employed in the ulcerated gums of chil- 
dren, accompanying decayed teeth. The teeth must first be 
extracted, and the solution then applied to the diseased surface. 
Also employed in mercurial sore mouth of children. See Sia- 
lagogues. 

Linctus with Muriatic Acid, fyc. 

R. Acidi Muriatici, 3j. 
Mellis. 

Aquae Rosarum, aa. ^j. 
Misce. — Sign a. — To be applied to scorbutic gums three or four 
times a day. 

Gargle of Sulphate of Zinc, 4' c « 

R. Sulphatis Zinci, 3j« 
Mellis, ^ss. 
Tincturae Myrrhae, ^j. 
Spiritus Vini Gallici, ^j. 
Aquae Rosarum, giv. 
Fiat gargarysma. — Signa. — To be applied to ulcerated gums, 
occasioned by excessive salivation. Water may be added if 
it be too strong. 

Muriatic Acid. 

R. Acidi Muriatici, §j. 

Signa. — From three to five drops to be mixed with a wine-glass- 
ful of the decoction of Peruvian Bark, and employed fre- 
quently through the day as a gargle. In scorbutic disease of 
the gums, and mercurial ptyalism. 

17 



120 ASTRINGENTS. 

Gargle of Borax, fyc, 

R. Sub-boratis Sodae, 3j. 

Tincturee Myrrhae, Jjss. 

Mellis Despumati, §j. 

Aqu?e Rosarum, : iv. 
Fiat Gargarysma. — To be used as the former. 

Injection of Muriate of Ammonia, fyc* 

R. Muriatis Ammonias, gr. i. vel. ij. 

Hydrargyri Corrosivi, gr. iij. 

Aquae Fontanae, giv. 
Fiat injectio.-— To be used in Chronic Gonorrhoea. 

Injection of Acetate of Zinc. 

R. Acetatis Zinci, gr. viij. 

Aquas Rosarum, ^iv. 
Fiat injectio. — Used in Gonorrhoea Virulenta. ] 

In all of these preparations the rose water is an 
elegant menstruum ; and it possesses the advantages 
of being slightly astringent, and rendered pure by 
distillation. Where it can be obtained, we would al- 
ways recommend it for injections and collyria. 

Injection of Armenian Bole, #*c. 

ft. Sulphatis Zinci, 3j. 

Boli Armense, 9ij. 

Pulveris Gum mi Arabici, Jij. 

Aquae Fontis, 3 viij. 
Fiat injectio. — To be used in Gonorrhoea. 

We would observe that the injections for Gonor- 
rhoea, should be frequently thrown ijp the urethra 
through the day; the patient placing his finger upon 
the perineum, near the neck of the bladder, to pre- 
vent the remedy reaching so far as to produce unne- 
cessary irritation. 



ASTRINGENTS. 127 

Lotion of Lime Water, Zinc, fyc. 

R. Aquae Calcis, ^ij. 

Oxidi Zinci, gr. xij. 

Cupri Sulphatis, gr. iij. vel. iv. 

Mel lis Rosacei, 3j« 
Fiat Lotio. 

The above formula is the Lotio Zinci Composita, 
of Swediaur. It is of great use in Phagedenic ulcers 
of the genitals. 

Liniment of Lime Water, and Linseed Oil. 

R. Olei Lini, 5iij. 

Liquoris Calcis, ^vj. 
Fiat linimentum. — To be applied to burns and scalds by means 
of a feather or soft rag. 

Lotion of Alcohol and Lime Water. 
R. Spiritus Vini Rectificati, ^ij. 

Liquoris Calcis, Oss. 
Fiat lotio. — To be employed in the same cases as the above. 

Lotion of Goulard? s Extract of Lead, $c. 
R. Aquae Sub-acetatis Plumbi, 3j« 

Spiritus C amphorae, 3i\j« 

Aquae Fontis, Oj. 
Fiat lotio. — To be used as the former. 

Injection of JLmmoniuret of Copper. 
R. Cupri Ammoniati, gr. v. 

Aquae Rosarum, §viij. 
Fiat solutio.— To be used in Chronic Gonorrhoea. 

Ointment of Calomel, 4'c 

R. Calomelanos, 3ij. 

Sulphatis Aluminae Exsiccati. 

Oxidi Plumbi Albi, aa. 5ss. 

Olei Terebinthinae, jij. 

Cerati Simplicis, 5iss. 
Fiat unguentum. 



128 ASTRINGENTS. 

This ointment is particularly efficacious in Tinea 
Capitis. It should be applied every night going to 
bed, and washed off in the morning ; as soon as the 
child's head is dry, it should be dusted over with 
powdered starch, which in the evening is again 
to give place to the ointment. The hair should 
be cut off previous to the application of the oint- 
ment. 

Ointment of Gall Nuts. 

R. Pulveris Gallarum, 3j. 

Adipis Suillae, §j. 
Misce. — Used in Hemorrhoidal affections. 

Ointment of Oxide of Zinc. s 

R. Oxidi vel Florum Zinci, Jj. 

Butyri Recentis, 3 v j* 
Misce. — To be applied to the eye, in cases of defluxions arising 
from relaxation, or slight inflammation. 

Ointment of Rhubarb, Opium, fyc. 

R. Pulveris Rhei, gr. x. 

Opii, gr. v. 

Cerati Simplicis, 5iss. 
Fiat unguentum. 

This ointment has been found very efficacious in 
indolent ulcers. 

Ointment of Tar, fyc. 

R. Unguenti Picis Liquidae, jj. 

Hydrargyri Nitratis vel Citrini, ^ss. 

Fiat mistura. 

Mostly employed in Tinea Capitis. 



ASTRINGENTS. 129 

Aromatic Sulphur Ointment. 

R. Potassae Sub-carbonatis, §ss. 

Aquae Rosae, ^j. 

Hydrargyri Sulphureti Rubri, ^j. 

Olei Essentialis Bergamot, ^ss. 

Sulphuris Sublimati. 

Adipis Suillas, aa. ^ix. 
Misce secundum artem. 

The above prescription is. from Dr. Bateman's Sy- 
nopsis. Dr. B. remarks that by this combination the 
smell and sordid appearance of the sulphur ointment 
may be in a considerable degree obviated. In Scabies. 



( 130 ) 



CLASS XVI 



ABSORBENTS OR ANTACIDS. 

ABSORBENTS or Antacids form a class of reme- 
dies for correcting acidity in the stomach and bowels. 
As a general rule they should be preceded by an 
emetic or cathartic, or both. When a permanent ef- 
fect is desired, they are usually combined with tonics, 
aromatics, and sometimes narcotics. When given 
alone they too frequently afford only a transient 
relief. 

POWDERS. 

Compound Cretaceous Powder with Opium. 

R. Crete Preparatae, 3i ss * 

Pulveris Cinnamomi, £j. 

Piperis Longi, gr. viij. 

Opii, gr. vj. 

Fiat pulvis. — Divide in chartulas xij. — One three or four times a 

day. In Diarrhoea. 

The above formula, with a slight alteration is from 
the London Pharmacopeia. 

Powder with Crab's Claws and Rhubarb. 

&. Chelae Cancrorum, 5j- 

Pulveris Rhei, 9ij. 
Misce, et divide in pulveres it. — Of which one may be taken 

once or twice a day, according to circumstances. In Acidity 

of the Prima Via. 

This preparation is called by the several names of 
crab's claws, eyes, and stones. It is a carbonate of 



ABSORBENTS OR ANTACIDS. 131 

lime united with some animal gelatine, and which, 
like prepared oyster shells, has little or no superio- 
rity over the prepared chalk. 

Powder with Magnesia, Fennel Seeds, frc. 
R. Magnesiee, §ss. 

Pulveris Seminum Focniculi. 

Cinnamomi, aa. 3j. 

Fiat pulvis. — Dose. — A small tea-spoonful three or four times 

a day. 

Powder with Soda, Magnesia, fyc. 
R. Magnesiae Calcinatae, ^ss. 
Sub-carbonatis Sodge. 
Pulveris Zingiberis, aa. 9j. 
Misce. — Signa. — A small tea-spoonful occasionally. In Cardi- 
algia. 

Powder with Magnesia and Colombo. 
R. Magnesiae Ustae, 3jss. 

Pulveris Colombae, 3j« 
Misce. — Divide in chartulas vj.— Of which one may be taken 

three times a day, in sugar and water. In Cardialgia. 

PILLS. 

Pills of Soda, Rhubarb, $c. 
R. Pulveris Rhei. 

Sub-carbonatis Sodas Exsiccatae. 
Extracti Gentianae, aa. 9j. 
Calomelanos, gr. iij. 
Misce, — Fiant pilulae xx. — Signa. — Two occasionally. In Dys 
pepsia. 

MIXTURES, SOLUTIONS, &c 

Chalk Mixture. 
R. Cretae Preparatae, 5 n j« 
Sacchari Albi. 

Pulveris Guinmi Acaciae, aa. 3iss. 
Tincturae Opii, gtt. lx. 

Kino, ^ij. 

Aquae Menthae, lyj. n 



13S ABSORBENTS OR ANTACIDS. 

Fiat mistura.*— • Signa. — A table-spoonful for a dose ever} 7 two 
hours. In Diarrhoea. 

Solution of Salt of Tartar. 
\l. Sub-carbonatis Potassae 3j- 
Sacchari Albi, 3j. 
Tincturas Lavandulae Compositae, Jij. 

Opii, gtt. xl. 

Aquae Menthae, ^iv. 
Misce. — Signa. — A table-spoonful every one or two hours. In 
Sickness of the Stomach occasioned by Acidity. 

The opium in the above prescriptions may be 
omitted at the discretion of the practitioner. 

Mixture of Salt of Tartar, Ammonia, fyc. 
R. Spiritus Ammonias. 

Sub-carbonatis Potassae, aa. 3ij. 
Aquae Cinnamomi, ^iv. 
Misce. — Signa. — A large tea-spoonful for a dose, pro re nata. 
In Pyrosis. 

Lime Water and Milk. 
R. Aquae Calcis. 

Lactis recentis, aa. 5"j« 
Misce. — Signa. — Two table-spoonsful for a dose. In Sickness 
of the Stomach few remedies are more prompt in their effect 
than the above. 

Mixture with Ammonia, Magnesia, fyc. 
R. Magnesias Ustae, 3j. 
Aquae Ammonias, 3j. 
Spiritus Cinnamomi, 3 n j« 
Aquas Fontanae, §vss. 
Misce. — Signa. — A table-spoonful every two hours. Usually 
given in the Sickness accompanying Pregnancy. 

Dyspeptic Ley. 
Take of 

Hickory Ashes 1 quart, 

Soot - - - 6 ounces, 

Boiling Water 1 gallon. 



ABSORBENTS OR ANTACIDS. 133 

Mix and let them stand for twenty-four hours, frequently stir- 
ring the ingredients. A tea-cupful may be given of this 
liquor, (decanted,) three times a day. 

This domestic remedy we have thought best to 
couch in the English language. It deserves an in- 
sertion from the circumstance that it was employed 
by Dr. Physick in his own case, and as we are in- 
formed, was of decided advantage when the usual 
alkaline remedies had failed. Experientia Docet. 

Mixture with Sub-carbonate of Soda, #c. 

R. Sodse Sub-carbon atis, 9iv. 

Infusi Gentianae Compositi. 

Aquae Cinnamomi, aa. 5iij. 

Tincturae Cardamomi, gss. 
Fiat mistura. — Signa. — A table-spoonful every two or three 

hours. In Acidity and Flatulency of the Stomach, &c. 



18 



( 134 ) 



APPENDIX No. I 



DIETETIC PREPARATIONS. 

THE importance of an acquaintance with those 
preparations of diet peculiarly designed for the pa- 
tient during disease and convalescence, is so obvious 
that it requires little or no comment. It was remark- 
ed by Dr. Rush, in his lectures, that a physician 
should spend six months in a kitchen before entering 
upon his practical career. As the medical attendant, 
therefore, is called upon frequently to give directions 
and rules for preparing the diet for the sick, we have 
inserted a few formulae for those articles which are 
in daily use. However apparently trifling such a 
class may appear to some persons, the physician will 
find that an attention to it will place the patient more 
completely under his own control, and inspire con- 
fidence in the relations and attendants. The rules to 
be observed in giving nourishment to the sick, will 
generally present themselves ; but there is one, in par- 
ticular, which should not be overlooked. In all low 
diseases, the nurse should be directed never to give 
too much at once, but frequently to repeat a small 
proportion. The lapse of a very short time without 
food, will frequently, in cases of great prostration, re- 
duce the patient very low, and may endanger his life. 



DIETETIC PRERARATIONS. 135 

Decoction of Barley ; or, Barley Water. 
Take of 

Pearl Barley, 2 ounces, 

Boiling Water, 2 quarts. 

Before adding the boiling water, let the barley be well washed. 
Then boil it to one-half and strain the liquor. A little lemon 
juice and sugar may be added, if desirable. To be taken ad 
libitum in inflammatory diseases. 

Rice Water. 
Take of 

Rice, 2 ounces 

Let it be well washed, and add to it — 

Water, - 2 quarts. 

Boil it for an hour and a half, and then add sugar and nutmeg, 
as much as may be required. To be taken ad libitum. 

Rice, when boiled for a considerable time, assumes 
a gelatinous form, and is a very excellent diet, mixed 
with milk, for children. 

Infusion of Flaxseed. 
As under Expectorants. 

Mucilage of Gum Arabic. 
As under Expectorants. 

Decoction of Bran. 
Take of 

Wheat Bran, recent, 1 pint, 

Water, 3 quarts. 

Boil down one-third, strain oiF the liquor, and add sugar, honey, 
or molasses, according to the taste of the patient. 

Bran tea may be made by using boiling water, and 
suffering the mixture to stand in a covered vessel for 
three or four hours. 

Sage Tea. 
Take of 

The dried leaves of sage, one-fourth of an ounce. 

Boiling Water, - - 1 quart 



186 DIETETIC PREPARATIONS. 

Infuse for half an hour and then strain. Sugar and lemon juice 
may be added in the proportion required by the patient. In 
the same manner may be made balm and other teas. 

These infusions form very agreeable and useful 
drinks in fever, and their diaphoretic powers may be 
increased by the addition of sweet spirits of nitre. 

Infusion of Malt. 
Take of 

Ground Malt, 1 pint, 

Scalding Water,* ----- 3 pints. 
Infuse them for two hours, and strain off the liquor. To which 
may be added sugar or lemon juice, if required. 

This is a favourite preparation with Dr. Parrish. 
and employed by him in inflammatory fevers. 

Lemonade. 
Take of 

Fresh Lemon Juice, 4 ounces, 

Fresh and very thin peel of Lemon, half an ounce, 
White Sugar, 4 ounces, 

Boiling Water, - - - - 3 pints. 
Let them stand until cold, then strain off for use. When employed 
in fevers, a little nitrate of potash or sweet spirits of nitre 
may be added. 

This preparation, when freely taken by the pa- 
tient, sometimes disorders the bowels, producing 
great pain. It must therefore be given with some re- 
serve as a daily drink. 

Water Gruel. 
Take of 

Oat Meal 2 ounces, 

Water, 1 quart. 

Boil them for ten or fifteen minutes, and strain themj adding 
sugar and salt to make it agreeable. 

* Water not quite brought to the boiling- point. 



DIETETIC PREPARATIONS. 137 

Rice Gruel. 

Take of 

Ground Rice, 1 ounce, 

Cinnamon 1 drachm, 

Water 1 quart. 

Boil for forty minutes, adding the aromatic near the conclusion. 
Stain and sweeten it. Wine may be added if necessary. 

Panado. 

Take of 

Wheat Bread, 1 ounce, 

Cinnamon, 1 drachm, 

Water, -._--. l pint. 

Boil them until well mixed, then add a little grated nutmeg and 
sugar. Wine or butter may also be added if desirable. 

Sago. 

Take of 

Sago, 2 spoonsful, 

Water, 1 pint. 

Boil gently until it thickens, frequently stirring. Wine, sugar, 
and nutmeg may be added, according to circumstances. 

Tapioca Jelly. 

Take of 

Tapioca, 2 spoonsful, 

Water, 1 pint. 

Boil it gently for an hour, or until it assumes a jelly-like ap- 
pearance. — Add sugar, wine, and nutmeg, with lemon juice 
to suit the taste of the patient and the nature of the case. 

Arrow Root. 

Take of 

Arrow Root, 1 table-spoonful, 

Sweet Milk, - half a pint, 

Boiling Water, - half a pint. 

Boil them a few moments over the fire. 

Sweetened with loaf sugar it is one of the best nu- 
triments for children, and more especially when their 
bowels are disordered. 



138 DIETETIC PREPARATIONS. 

Boiled Flour. 
Take of 

Fine Flour, a pound. 

Tie it up in a linen rag as tight as possible, and after frequently 
dipping it in cold water, dredge the outside with flour till a 
crust is formed round it, which will prevent the water soak- 
ing into it while boiling. It is then to be boiled until it be- 
comes a hard, dry mass. 

Two or three spoonsful of this may be grated down 
and prepared in the same manner as arrow root, for 
which it forms an excellent substitute, and can be 
obtained in the country, when perhaps the other 
cannot. 

Vegetable Soup. 

Take one Turnip, one Potatoe, one Onion. Let them be sliced, 
and boiled in one quart of water for an hour. Add as much 
salt as is agreeable, and pour the whole upon a piece of dry 
toast. 

This preparation forms an agreeable substitute for 
animal food, and may be given where the former 
would be improper. 

Chocolate. 

When this is desired by the patient it should be suffered to stand 
until cold, after having been made in the usual way. The 
oily parts thus collect on the surface and should be taken off. 
The liquid may then be boiled again, and sugar, &c. added 
as much as may be agreeable. 

Beef Tea. 
Take of 

Lean Beef, cut into shreds, 1 pound, 

Water, 1 quart. 

Boil it for twenty minutes, taking off the scum as it rises. After 
it grows cold strain the liquor. 

This preparation is more nourishing than ordinary 
broths and is very palatable. 



DIETETIC PREPARATIONS. 139 

Essence of Beef. 
Take of 

Lean Beef, sliced. 
Put a sufficient quantity into a porter bottle to fill up its body, 
cork it loosely and place it in a pot of cold water, attaching 
the neck by means of a string to the handle of the vessel. 
Boil this for three-quarters of an hour, then decant the liquor 
and skim it. 

To this preparation may be added spices, salt, 
wine, brandy, &c. according to the taste of the patient 
and nature of the disease. It is greatly employed 
in low fevers, and therefore all should be able to 
direct its modus prceparandi correctly. 

Chicken Water. 
Take half a chicken divested of all fat and break its bones; add 
to this half a gallon of water, and boil for fifteen or twenty 
minutes.'— Season with salt. 

This water is freely employed by Dr. Parrish in 
Cholera at its commencement. Taken warm it pro- 
motes vomiting, and washes out the stomach. 

Suet Ptisan. 

Take of 

Sheep's Suet, - 2 ounces, 

Milk, - 1 pint, 

Starch, - half an ounce. 

Boil slowly for ten minutes. 

This may be used as a common drink in dysen- 
tery. 

Mucilage of Starch, fyc. 

Take of 

Starch, ------ l ounce, 

Powdered Cinnamon, - 1 drachm. 

Gum Arabic, 1 ounce, 

Boiling Water, 3 pints. 

Boil until reduced one-third, and strain. 



140 DIETETIC PREPARATIONS. 

The above may be used as a common drink in dy- 
sentery. 

Wine and Mustard Wheys. 
As under Stimulants. 

Rennet Whey. 

Take of 

New Milk, 1 quart, 

Rennet, a large spoonful. 

Warm the milk and then add the rennet.— Boil until the curd 
separates and is all taken off. 

To many persons this forms a very agreeable nu- 
triment. 

Vinegar Whey. 

Take of 

Milk, !p int > 

Vinegar, half an ounce. 

Boil for a few minutes, and separate the curd. 

Tartar Whey. 

Take of 

Milk, 1 q uart > 

Cream of Tartar, - . - half an ounce. 

Boil until the curd separates. 






( 141 ) 



APPENDIX, No. II 



POISONS. 

Cases of poisoning are so sudden and so awful, 
that no time is to be lost in administering relief; to 
do this with judgment and effect it is requisite to be 
familiar with all the usual antidotes : of these we 
have accordingly selected some which possess an ac- 
knowledged efficacy, omitting at the same time many 
others that are unworthy of confidence. For the pur- 
pose of convenience we have arranged the Poisons 
alphabetically, with the appropriate antidotes attach- 
ed to each. But, as has been remarked when speak- 
ing of Emetics, our chief reliance in these cases is 
upon free vomiting, induced by those articles which 
are most speedy in their effect. Yet even from this 
treatment little can be expected where the deleterious 
substance has remained long in the stomach. 

A. 

ACIDS, NITRIC, MURIATIC AND SUL- 
PHURIC. 

The proper antidotes to these are the alkalies, alka- 
line earths, and soaps ; common pearl ash, or carbon- 
ate of potash ; calcined, or carbouate of magnesia ; 
soap in solution ; accompanied with copious draughts 
of warm water, warm flaxseed tea, or oleaginous ar- 
ticles. 

19 



14& POISONS. 

ALKALIES. 

The best antidote is common vinegar, because it 
is always at hand ; its affinity for these substances 
is sufficiently strong to neutralize them. 

ANTIMONY. 

The only preparation of this mineral by which 
poisoning is ever produced is Emetic Tartar. This 
of itself produces violent vomiting, and therefore our 
first efforts should be directed to keeping up the erne- 
sis by means of mild diluents and oleaginous prepa- 
rations. Its antidotes are the alkalies, bitter and as- 
tringent infusions, such as common tea, Peruvian 
bark, &c. &c. 

ARSENIC. 

There is no known antidote to this deadly poison, 
and our sole dependance is upon mild diluents, albu- 
men, (such as the whites of eggs suspended in milk,) 
or warm water and sugar. These should be given 
ad libitum. 

B. 
BARYTES. 

The carbonate of this earth is poisonous, and might 
possibly be taken by mistake. Its true antidote is 
sulphate of magnesia or soda; with these a sulphate 
of barytes is formed, which is perfectly insoluble, and 
may be brought off by emetics and copious diluents, 
oleaginous or albuminous. 

C. 
COPPER. 

The sulphate of this metal is, perhaps, the only 
chemical preparation that is likely to be taken into 



poisons. 143 

the stomach. A more ordinary manner is the care- 
less use of culinary vessels, or mineral water foun- 
tains. All saccharine preparations, and the prussiates 
of potash and iron, are considered as its antidotes. 
But our safest reliance is upon albumen with copious 
draughts of warm milk and sugar. 

L. 
LEAD. 

The acetate is the only preparation which can be 
resorted to as a poison. The sulphate of lead is in- 
soluble and inert, and therefore the sulphate of mag- 
nesia or soda is its true antidote. 

M. 

MERCURY. 

All the preparations of this metal are poisonous : 
and although they can be readily decomposed, yet 
by this means we merely change the poison without 
destroying it. Our chief and only dependance, ac- 
cording to M. Orfila, is upon the albumen of eggs, 
copiously swallowed, or introduced through the sto- 
mach-tube, which should be resorted to on all occa- 
sions where the patient cannot swallow or vomit. En- 
emata of the same should also be employed. 

N. 

NARCOTICS. 

The remedies employed in all cases of poisoning 
from this class of substances, are nearly the same. 
The most active emetics, as sulphate of zinc, in large 
doses, sulphate of copper, tartar emetic, and ipecacu- 
anha. In all cases where it is possible, the stomach- 



141 POISONS. 

tube should be employed to wash out that organ. Af- 
ter these evacuations, coffee and the vegetable acids 
are proper. 

S. 

SILVER. 

The nitrate of this metal has been sometimes taken 
by mistake ; its antidote is common salt, largely given, 
with copious draughts of mucilaginous drinks to pro- 
mote vomiting. 

T. 

TIN. 

When any of the salts of tin are taken, albumen of 
eggs, or milk given freely, is the appropriate remedy. 



INDEX 



An English index is given in preference to a technical one. 
because the synonyma of the former are more generally under- 
stood, if not fewer in number, than those of the latter. 



Absorbents, 130. 

Acetate of Potash, 35. 

of Mercury, 103. 

of Lead, 121. 124. 127. 

Alcohol, 77. 84. 122. 127. 

Aloes, Pills of, 23, 24, 25. 28. 61. 

Tincture of, 63. 

with Canella, 20. 29. 63. 

Aloetic Enema, 68. 

Alum, 16. 80. 120, 121, 122, 123, 
124. 127. 

Whey, 123. 

Curd, 123. 

Amber, Oil of, 53. 77. 

Salt of, 98. 

Ammoniuret of Copper, 110. 113. 
127. 

Ammonia, Liniment of, 76. 

See Carbonate of Ammo- 
nia. 

Ammoniac, 54, 55. 

Angustura, 108. 117. 

Anodyne Draught, 93. 

Antacids, 130. 

Anthilitics, 37. 

Antispasmodics, 98. 

Anthelmintics, 64. 

Antimonial Powder, 44. 

Wine, 15. 46. 53. 

Antimony. See Tartar Emetic. 

Arrow-Root, 137. 

Arsenic, 80. 115. 141. 

Assafcetida, 24. 26. 33. 54. 98. 100. 

Injection, 101. 

Astringents, 120. 
B. 

Balsam of Copaiva, 35. 39. 55. 

of Tolu. See Tolu. 

of Peru, 55, 

Barley Water, 48. 135. 
Barytes, 141. 

Bear's Grape, 38. 
Beef Tea, 138. 



Belladonna, 96. 

Bittersweet, 96. 

Bismuth. See Oxide of Bismuth. 

Black Wash, 81. 

Black Drop, 95. 

Blisters, 70. 

Blister Issue, 74. 

Blue Pill, 104. 

Boiled Flour, 138. 

Bole, 121. 126. 

Boneset, 47. 118. 

Borax, 126. 

Bran, Decoction of, 135. 

Brown Mixture, 52. 

Burgundy Pitch, 79. 

C. 
Calomel, 19, 20, 21, 22, 23, 33. 45 

43. 51. 64. 81, 82. 92. 127. 
Pills, 102. 104. 



Camphor, 61. 83. 85, 86. 99. 101. 
104. 121. 

Enema, 69. 

Mixture, 85. 

in Milk, 85. 



Cantharides, 34. 60. 62. 72. 75. 77. 

83, 84. 
Canella, 20. 29. 63. 
Capsicum, 77, 78. 84. 88. 
Carbonate of Ammonia, 47. 77. 82. 

84, 85. 99. 
of Magnesia, 85. 



Carbonate of Iron, 99. 109. 112. 

113. 114. 
of Potash, 28. 32. 36. 



18, 39. 53. 113. 129. 132. 

of Soda, 21. 33. 38, 39. 



53 62. lbo. 
Castor, 62, 63. 98. 100. 
Castor Oil, 26. 30. 
Cathartics, 18. 
Catechu, 121. 123. 
Caustic, 79. 
Chalk, 122. 130, 131. 
Chamomile, 117. * 



146 



INDEX. 



Chicken Water, 139. 
Chocolate, 138. 
Cinchona. See Peruvian Bark. 
Cicuta. See Hemlock. 
Cloves, 78, 79. 88. 108. 
Clove Tea, 88. 

Cochineal, 53. 65. 

Colchicum, 29. 36. 

Colocynth, 25. 

Collyria, 124. 

Colombo, 109, 116. 131. 

Copper, 142. 

Cornine, 110. 

Corrosive Sublimate, 81. 102, 103. 
105. 124, 125. 

Cowhage, 66. 

Coxe's Hive Syrup, 17. 52. 

Croton Oil, 24. 26. 
D. 

Decoction of Aloes, 28. 

of Sarsaparilla, 47. 

■ of Turpentine and Can- 

tharides, 75. 

Dewees's Tine. Guaiac. 62. 

Diaphoretics, 41. 

Dietetics, 134. 

Digitalis, 33, 34. 54. 92. 95. 

Diuretics, 32. 

Dogwood Bark, 118. 

Doses of Laudanum for Children, 
94. 

Dover's Powder, 44. 49. 

Dyspeptic Ley, 132. 
E. 

Elaterium, 29. 

Emetics, 13. 

Emetine, 17. 

Emmenagogues, 59. 

Emulsion of Phosphorus, 86. 

Enema of Extract of Bark, 118. 

Enemata, 30. 

Epsom Salt. See Sulphate of Mag- 
nesia. 

Ergot, 60. 

Escharotics, 79. 

Epispastic Ointment, 72. 

Epispastics, 70. 

Essence of Beef, 139. 

Ether, 58, 100. 

Expectorants, 49. 
F. 

Fern, Male, 65. 

Fothergill's Pills, 25. 

Fowler's Solution, 115. 

Foxglove. See Digitalis. 



Fumigation, 57. 

G 
Galls, 122. 

Infusion of, 122. 

Ointment of, 128. 

Gamboge, 20. 64. 

Gargles, 125. 

Garlic, 78. 

Garlic Cataplasm, 78. 

Gentian, 24. 33. 39. 109. 116. 133. 

Geoffrea Bark, 67. 

Ginger, 85. 88. 109. 116. 131. 

Griffitts's Pills, 22. 

Guaiac. 25. 43, 44. 46. 62. 83. 109. 

H. 
Hellebore, 62. 

Hemlock, 91, 92, 93. 95. 103. 
Hemlock Plaster, 50. 52. 101. 
Henbane, 51. 91. 96. 
Hiera Picra, 20. 29. 59. 63. 
Hoffman's Anodyne, 87. 100. 
Hooper's Pills, 61. 
Hop, 118. 
Huxham's Tincture of Bark, 114, 

115. 
Hydriodate of Potash, 88, 89. 

I. 
Jalap, 19, 20, 21. 29. 60. 
James's Powder, 44. 
Iceland Moss, 56. 
Inhalation, 57. 
Injections, 122. 124. 126. 
Ipecacuanha, 14. 24. 42, 43. 49, 50. 

82. 
Wine, 15. 



Juniper Berries, 34. 
Issues, 73. 

K. 
Kentish Ointment, 75. 
Kino, 120. 122. 131. 

L. 
Laudanum, 35. 53. 94. 100. 
Enema, 97. 



Lemonade, 136. 
Ley, 132. 

Lime Water, 39. 81. 125. 127. 132. 
Injection, 125. 



Liniments, 76. 

Linseed Oil, 127. 

Linseed, 31. 56. 

Liquor of Acetate of Ammonia, 34 

46. 54. 
Lithontriptics, 37. 
Logwood, 122, 123. 
Lunar Caustic, 80. 



INDEX. 



147 



M. 

Madder, 59. 

Magnesia, 19. 21. 26, 27. 85. 131, 
132. 

Male Fern, 65. 

Malt, Infusion of, 136. 

Manna, 27, 28. 66. 

Mastich, 106. 

Measures, Introd. 

Mercury, see Calomel and Corro- 
sive Sublimate. 

Mercurial Ointment, 76. 105. 

with Camphor, 



106. 



Pills, 25. 104. 



Mineral Acids, 80. 

Minims, Introd. 

Morphine, 94. 

Moseley's Vitriolic Solution, 16. 

Muriate of Ammonia, 102. 111. 125. 

of Iron, 63. 116. 

of Soda, 30. 65. 

of Mercury, see Corrosive 

Sublimate. 
Muriatic Acid, 39. 125. 141. 
Musk, 99. 101. 

Mixture, 99. 

Injection, 101. 

Mustard, 77. 

Cataplasm, 78. 

Draught, 16. 

Whey, 87. 

Myrrh, 28. 33. 49, 50, 51. 60. 62. 

86. 109. 113. 121. 

Lotion, 81. 

N. 
Narcotics, 90. 143. 
Neutral Mixture, 44. 
Nig-htshade, 96. 
Nitrate of Potash, 29. 32. 42, 43. 

46. 48, 49, 50. 81. 

of Silver, 80. 112. 128. 

Nitric Acid, 55. 141. 
Nitro-Muriate of Gold, 113. 
Nux Vomica, 92, 93. 
Nut Galls, see Galls. 

O. 
Oak Bark, 124. 
Oil of Turpentine, see Spirits of 

Turpentine. 

of Amber, see Amber. 

Olive Oil, 68. 76, 77. 
Opiate Electuary, 91 . 

Collyrium, 93. 

Confection, 91. 101. 



Opiate Plaster, 97, 101. 
Opium, 23. 38. 42, 43. 50, 51. 79. 
83. 93. 96. 106. 112. 121. 128. 

Pills, 90, 91, 92. 

Enema, 96. 

Suppository, 97. 

Tincture of, see Laudanum. 



Oxide of Arsenic, 80. 111. 141. 
of Antimony with Phosp. of 

Lime, see James's Powder. 

of Bismuth, 111. 

of Lead, 127. 

of Mercury, 81. 105. 

of Zinc, 112. 127, 128. 

P. 
Panado, 137. 

Paregoric Elixir, 42, 54, 55. 95. 
Parsley, 34. 
Pea Issue, 74. 
Pellitory, 106. 
Peruvian Bark, 38. 107, 108, 109. 

113, 114, 115, 116, 117, 118, 123. 
Pleurisy Root, 48. 
Phosphate of Soda, 21. 
Phosphorus, 86. 
Pink-root, 64. 66, 67. 
Pipsissevvay, 48. 
Poisons, 141. 
Pomegranate, 68. 
Potash, 79. 

Prepared Chalk, 130, 131 
Prussiate of Iron, 109. 
Prussic Acid, 56. 

Q. 
Quassia, 38. 112. 117. 
Quinine, 110. 115. 
R. 
Red Precipitate, 81. 
Rennet Whev, 140. 
Resin, 58. 
Rhubarb, 14. 19, 20. 22, 23. 25. 27, 

28. 82. 116. 128. 130, 131. 
Rice Water, 135. 

Gruel, 137. 

Rubefacients, 75. 

Rust of Iron, see Carbonate of Iron. 

S. 
Saffron, 29. 36. 
Sage Tea, 135. 
Sago, 137. 
Sarsaparilla, 47. 
Savin, 60. 62. 82. 
Sedatives, 90. 
j Seidlitz Powders, 21. 
I Seneka, 17. 57. 61, 



148 



INDEX. 



Senna, 27, 28. 60. 65. 

Setons, 73. 75. 

Sialagogues, 102. 

Sinapism, 78. 

Snake Root, 20. 108. 114. 118. 

Soap PUls, 38. 

Spermaceti, 55. 

Spice Plaster, 78. 

Spirits of Turpentine, 26. 31. 35. 
40. 67. 75, 76. 86. 

Spirit of Camphor, 77. 

Spurred Rye. See Ergot. 

Squills, 17. 29. 32, 33. 51, 52. 

Stimulants, 83. 

Stramonium, 58. 91. 96. 

Strichnine, 92. 

Sub-acetate of Copper, 82. 

Sub-muriate of Mercury. See Ca- 
lomel. 

Suet Ptisan, 139. 

Sugar of Lead. See Acetate of 
Lead. 

Sulphate of Alumine. See Alum. 

of Copper, 15. 111. 121. 

125. 127. 

of Iron, 23. 60, 61. 109. 



112, 113. 

of Magnesia, 21. 27. 30. 



108. 
of Zinc, 15, 16. 50,51. 

124, 125. 126. 
Sulphur, 21. 29. 44. 129. 

Ointment, 81. 129. 

Sulphuret of Mercury, 129. 
Sulphuric JEther. See Ether. 

Acid, 110. 115, 116. 141. 

Supertartrite of Potash, 20, 21. 29. 

34. 60. 108. 
Symbolic Characters, Introd. 
Sweet Spirits of Nitre, 34, 35. 

T. 
Table of Abbreviations, Introd. 
Tar Ointment, 128. 
Tapioca J ellv, 137. 
Tartar Whey, 140. 



Tartar Emetic, 14, 15, 16. 21. 27. 
31.42.76. 141. 

Plaster, 72. 

Ointment, 73. 

• ■■ Solution, 73. 

Tartrite of Antimony and Potash. 
See Tartar Emetic" 

Tin, Powder of, 66. 144. 

Tobacco Enema, 31. 

Poultice, 17. 

Tolu, 46. 52, 53, 54. 57. 

Tonics, 107. 

Turpentine, Oil of. See Spirits of 
Turpentine. 

Pills, 33. 

U. 

Uva Ursi. See Bear's Grape.* 
V. 

Valerian, 99, 100, 117. 

Vegetable Soup, 138. 

Verdigris. See Sub-acetate of Cop- 
per. 

Vinegar Whey,, 140. 

Vitriol, Blue. See Sulphate of 
Copper. 

Green. See Sulphate of 



4 

I 



Iron. 



White. See Sulphate of 



Zinc. 
Vomica Nut. See Nux Vomica. 

W. 
Warner's Cordial, 28. 
Water Gruel, 136. 
Water of Ammonia, 100. 132. 
White Precipitate, 81. 
Wistar's Cough Lozenges, 52. 
Weights. Introd. 
Wild Cherry-tree Bark, 118 
Wines, 88. 
Wine Whey, 87. 
Wormseed Oil, 67. 
Worm Tea, 66. 

Y. 
Yellow Wash, 81. 



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